Title: Section 425.10 - Nursing services

Effective Date

09/10/2014

425.10 Nursing services. The operator, directly or through the managed long term care plan or care coordination model that referred the registrant to the adult day health care program,must:

(a) evaluate the need of each registrant for nursing care on a periodic and continuing basis, but not less often than quarterly, and, when appropriate, provide or authorize such care;

(b) ensure that a registered professional nurse is on-site and performs a nursing evaluation of each registrant at the time of admission to the program, unless such nursing evaluation has been performed by the managed long term care plan or care coordination model prior to referring the registrant to the adult day health care program;

(c) ensure that for each registrant the findings of the nursing evaluation, the nursing care plan, and recommendations for nursing follow-up are documented, dated and signed in the registrant's clinical record;

(d) ensure that nursing services are provided to registrants under the direction of a registered professional nurse who is on-site in the adult day health care program during all hours of the program operation. Based on the care needs of the registrants, for a program located at the sponsoring licensed residential health care facility, a licensed practical nurse may provide the on-site services when a registered professional nurse is available in the nursing home or on the campus to provide immediate direction or consultation; and

(e) ensure that appropriate health education is provided to registrants and family members to provide support for the registrant and family in understanding and dealing with the registrant's health condition as it relates to his/her continued ability to reside in the community.

With respect to registrants referred to the adult day health care program by a managed long term care plan or care coordination model, the managed long term care plan or care coordination model shall be responsible for compliance with the requirements of this section.

Volume

VOLUME C (Title 10)

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