Direct care costs

Direct care costs include only those costs identified in this section. 1. Resident care. a. Salary and employment benefits for the director or supervisor of resident care staff, inservice trainers for resident care staff, quality assurance personnel, resident care aides, medication aides, and ward clerks. b. Routine hair and personal hygiene items and services furnished routinely and relatively uniformly to all residents; items stocked at nursing stations or on the floor in gross supply and distributed or used individually in small quantities; and items used by individual residents that are reusable, vary by the needs of the individual, and are expected to be available in the facility. c. Medically necessary items, services, and durable medical equipment which could otherwise be billed directly to Medicaid if the facility chooses to provide them. 2. Licensed health care professionals. a. Salary and employment benefits for the director or supervisor of licensed health care professional staff, registered nurses, licensed practical nurses, speech, occupational, and physical therapists. b. The cost of supplies used to provide therapy, or noncapitalized therapy and resident care equipment. 3. Laundry. a. Salary and employment benefits for a director of laundry, laundry aides, seamstresses, and other personnel who gather, transport, sort, and clean linen and clothing. b. The cost of laundry supplies including detergents, softeners, and linens. c. Contracted services for laundry. 4. Social services. Salary and employment benefits or consultant fees for social workers or social worker designees. 5. Activities. a. Salary and employment benefits for activities director, activities aides, and other personnel who directly provide for leisure and recreational activities. b. The cost of leisure and recreational activities and supplies including games, ceramics, pets, out-of-house activities, and noncapitalized exercise equipment.