Resident Care Policies

(A) All facilities providing Level I, II or III care shall have current, written policies governing the services provided in the facility. All facilities shall develop policies for the following services: (1) Emergency Needs of Residents. (a) Admission, transfer and discharge procedures; (b) Primary care provider services; (c) Pharmaceutical services and medications; (d) Dietary services; (e) Rehabilitation services; (f) Social services; (g) Resident activities and recreation; (h) Emergency and disaster plans; (i) Personal comfort, safety, and accommodations; (j) Clinical Records. (2) Facilities providing Level I, II or III care shall also develop policies for the following services: (a) Diagnostic services; (b) Nursing services; (c) Carry over services (in a certified facility); (d) Utilization Review. (3) Skilled Nursing Care Facilities for Children shall also develop policies for the following services: (a) Education Services; (b) Therapeutic Recreation Services; (c) Individual Service Planning; (d) Behavior Modification Services; (e) Respite Services; (f) Permanency Planning Services. (B) The administrator shall be responsible for the development of resident care policies with the director or supervisor of nurses and representatives from other disciplines as may be appropriate. (1) In a SNCFC, there shall be a Patient Care Advisory Committee advising the facility in the development and review of all resident care policies. In addition, such committee may participate in an advisory capacity on human rights and programmatic activities relative to resident care. (2) The Patient Care Advisory Committee shall be comprised of the following members: (a) The Medical Director from the SNCFC facility; (b) The administrator and other professional staff person(s) from the SNCFC facility; (c) One services for handicapped children clinician from a DPH Regional Health Office; (d) One representative from the Department of Education; (e) One parent/guardian representative from each SNCFC unit, one of whom may represent a parent advocacy group; (f) One representative from a parent advocacy group; (g) Minimum of two community professionals who are familiar with issues related to developmental disabilities, one of whom mayrepresent the DPH Regional Health Office; (h) Other individuals as may be required . The Patient Care Advisory Committee shall meet a minimum of twice a year and minutes shall be maintained. (C) The facility shall review and revise resident care policies at least annually. (D) In facilities providing Level I, II or III care, each resident shall have a care plan that shall include the medical, nursing, social service, dietary, rehabilitation, activity and other such plans and services as may be required to provide for the individual’s total care. The care plan shall be coordinated by the nursing staff and shall be reviewed in consultation with the resident or resident’s guardian, and all relevant disciplines. (1) In a SNCFC, the resident’s care plan shall include any Individual Education Plan (IEP). (2) In Medicare or Medicaid certified facilities providing Level I, II or III care, each resident with DD/ORC shall have a resident care plan which shall include the medical, nursing, social service, dietary, rehabilitation, activity and other such plans and services, including carry-over services that integrate all relevant specialized services contained in the resident’s Department of Developmental Services (DDS), Rolland Integrated Services Plan (RISP) and Specialized Services Provider plan, as may be required to provide for the individual’s total care. (a) The facility shall develop the carry-over services goals, objectives, timelines and responsible disciplines portion of the nursing facility resident care plan in conjunction with the DDS service coordinator or a case manager designated by DDS and Specialized Service Provider staff. (b) Within 90 days of admission and at least annually thereafter, as part of the resident care planning process, the facilitystaff shall meet with the Specialized Services Providers and other members of the individual’s interdisciplinary team as coordinated by the DDS service coordinators or case managers designated by DDS and shall participate in the development and/or review of the Rolland Integrated Service Plan (RISP) (E) In a facility having both a SNCFC and units for adults, written policies shall be established regarding interactions between children and adults.