0720-37-.08
Personal And Health Care Needs
Cite as Tenn. Comp. R. & Regs. 0720-37-.08
(1)
An ACH provider shall conduct an assessment of a prospective resident before admitting the
resident. The assessment shall include:
(a)
Diagnoses;
(b)
Medications;
(c)
Personal care needs;
(d)
Nursing care needs;
(e)
Nutritional needs;
(f)
Activities; and
(g)
Lifestyle preferences.
(2)
An ACH provider shall be able to meet the needs of a resident, including personal and health
care needs and night care needs, before admitting the resident.
(3)
Plan of Care.
(a)
The ACH shall develop a resident plan of care for the day-to-day delivery of residential
services, including personal and health care needs and night care needs with input and
STANDARDS FOR ADULT CARE HOMES – LEVEL 2
CHAPTER 0720-37
participation from the resident or the resident’s legal representative, the resident’s
family, and the resident’s treating physician, or other licensed health care professionals
or entity delivering patient services within five (5) days of admission. If the ACH
services are reimbursed through the TennCare CHOICES program, or any successor
thereto, the plan of care shall be developed in collaboration with the member’s care
coordinator.
(b)
The plan of care shall include, at a minimum the following elements:
1.
Health and functional status, including cognitive/behavioral health status and any
ADL deficiencies;
2.
Resident needs and preferences, personal and health care needs, and night care
needs;
3.
Significant health conditions and required course of treatment for management of
chronic conditions;
4.
Medication regimen;
5.
Dietary needs; and
6.
Evacuation plans.
(c)
The plan of care shall be reviewed quarterly by the above appropriate individuals and
shall be updated at a minimum on an annual basis and more frequently as the
resident’s health status changes and as circumstances warrant.
(4)
Ventilator dependent residents. Level 2 adult care home providers serving ventilator-
dependent patients shall:
(a)
Have an audible, redundant alarm system located outside of resident sleeping rooms to
alert the ACH provider or resident manager of a resident disconnection or ventilator
failure;
(b)
Ensure that all ventilators are equipped with internal battery backup systems; and
(c)
Have a functioning backup ventilator available at all times.