R432-700-25. Therapy Services

(1) Therapy services offered by the licensee, as either direct or contract services, shall be provided by, or under the supervision of, a licensed or certified therapist in accordance with the plan of care. (2) The qualified therapist shall have the following general responsibilities: (a) provide treatment as ordered and approved by the attending primary care provider; (b) evaluate the home environment and make recommendations; (c) develop the plan of care for therapy; (d) observe and report findings about the client's condition to the attending primary care provider and other staff and document information in the client's record; (e) advise, consult, and instruct other personnel and family about the client's therapy program; (f) provide written instructions for the CNA to promote extension of therapy services; (g) supervise other personnel when appropriate; and (h) participate in in-service programs. (3) A physical, speech, or occupational therapist may additionally perform the following: (a) provide written instructions for personal care aides and certified nursing aides to ensure provision of required services written in the plan of care; (b) supervise aides in the client's home as necessary, and be readily available for consultation by phone; and (c) make supervisory visits with or without the aide's presence, as required.