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(a) The nursing facility staff shall encourage and assist residents to achieve and maintain their highest level of self-care and independence. A registered nurse, in conjunction with an interdisciplinary team, shall, within 14 days of admission of a resident, ensure completion of the comprehensive resident assessment instrument approved by the department. The assessment shall be reviewed by the nurse and interdisciplinary team no less frequently than quarterly and the plan of care revised as necessary. A reassessment shall be completed, by the nurse and interdisciplinary team, after any major permanent change in condition of the resident, but no less frequently than annually. (b) The nursing facility staff shall give residents the necessary care to prevent pressure ulcers, contractures, and deformities. (c) The nursing facility staff shall implement procedures to prevent and reduce incontinence of residents. These procedures must include

(1) a written assessment by a registered nurse within two weeks after admission of an incontinent resident’s ability to participate in a bowel or bladder training program;

(2) an individualized bowel or bladder training plan for each resident, as appropriate; and

(3) a monthly written summary of a resident’s performance in the training program. (d) The nursing facility staff shall observe the hydration status of residents, and shall record deviations from the normal status and report the deviations to the charge nurse. (Eff. 11/19/83, Register 88; am 5/28/92, Register 122) Statutory Authority: Authority: AS 18.20.010 AS 18.20.060 7 AAC 12.275. Nursing and medical services. (a) Except as otherwise specified in this section, a nursing facility must have a registered nurse on duty seven days a week on the day shift and five days a week on the evening shift. A licensed practical nurse must be on duty during all shifts when a registered nurse is not present. A nursing facility must have telephone access to at least one registered nurse at all times and must post the names and phone numbers of those registered nurses at each nurse’s station. (b) A nursing facility with more than 60 occupied beds must have two registered nurses on duty during the day shift and one registered nurse on duty during other shifts.