loading…
loading…
loading…
1. A nursing facility shall care for its residents in such a manner and in such an environment as will promote maintenance or enhancement of the quality of life of each resident. 2. A nursing facility shall maintain a quality assessment and assurance committee that consists of the director of nursing services, a physician who is designated by the nursing facility and at least 3 other members of the nursing facility staff and that shall do all of the following: a. Meet at least every 3 months to identify issues with respect to which quality assessment and assurance activities are necessary. b. Develop and implement appropriate plans of action to correct identified quality deficiencies. 3. A quality assessment and assurance committee described under subd. 2. may establish written guidelines or procedures for making therapeutic alternate drug selections for the purposes of s. 450.01 (16) (hm) if the committee members include a pharmacist, as defined in s. 450.01 (15).
A nursing facility shall care for its residents in such a manner and in such an environment as will promote maintenance or enhancement of the quality of life of each resident.
A nursing facility shall maintain a quality assessment and assurance committee that consists of the director of nursing services, a physician who is designated by the nursing facility and at least 3 other members of the nursing facility staff and that shall do all of the following: a. Meet at least every 3 months to identify issues with respect to which quality assessment and assurance activities are necessary. b. Develop and implement appropriate plans of action to correct identified quality deficiencies.
Meet at least every 3 months to identify issues with respect to which quality assessment and assurance activities are necessary.
Develop and implement appropriate plans of action to correct identified quality deficiencies.
A quality assessment and assurance committee described under subd. 2. may establish written guidelines or procedures for making therapeutic alternate drug selections for the purposes of s. 450.01 (16) (hm) if the committee members include a pharmacist, as defined in s. 450.01 (15).
A nursing facility shall provide services to attain or maintain the highest practicable physical, mental and psychosocial well-being of each resident in accordance with a written plan of care for each resident which: 1. Describes the medical, nursing and psychosocial needs of the resident and how the needs shall be met; 2. Is initially prepared, with participation to the extent practicable of the resident or the resident’s family or legal counsel, by a team which includes the resident’s attending physician and a registered professional nurse who has responsibility for the resident; and 3. Is periodically reviewed and revised by the team in subd. 2. after the conduct of an assessment under par. (c).
Describes the medical, nursing and psychosocial needs of the resident and how the needs shall be met;
Is initially prepared, with participation to the extent practicable of the resident or the resident’s family or legal counsel, by a team which includes the resident’s attending physician and a registered professional nurse who has responsibility for the resident; and
Is periodically reviewed and revised by the team in subd. 2. after the conduct of an assessment under par. (c).
1. A nursing facility shall conduct a comprehensive, accurate, standardized reproducible assessment of each resident’s functional capacity that: a. Describes the resident’s capability to perform daily life functions and significant impairments in the resident’s functional capacity. b. Is based on a uniform minimum data set of core elements and common definitions specified as required under 42 USC 1395i-3 (f) (6) (A). c. Uses an instrument which shall be specified by the department by rule. d. Includes identification of the resident’s medical problems. 2. A registered professional nurse shall conduct or coordinate with the appropriate participation of health professionals, sign and certify the completion of an assessment under subd. 1. Each individual who completes a portion of the assessment shall sign and certify as to the accuracy of that portion of the assessment. 3. No individual may willfully and knowingly certify under subd. 2. a material and false statement in an assessment. 4. No individual may willfully and knowingly cause another individual to certify under subd. 2. a material and false statement in an assessment. 5. If the department determines by survey of a nursing facility or otherwise that an individual has knowingly and willfully certified a false assessment under subd. 2., the department may require that individuals who are independent of the nursing facility and are approved by the department conduct and certify assessments under this paragraph. 6. A nursing facility shall: a. Conduct an assessment under subd. 1. no later than 4 days after the admission of an individual admitted after September 30, 1990. b. Conduct all of the assessments under subd. 1. for a resident of the nursing facility by October 1, 1991, for a resident who resides in the facility on that date; promptly after a significant change in a resident’s physical or mental condition; and, for every resident, no less often than once every 12 months. c. Examine a resident no less frequently than once every 3 months and, as appropriate, revise the resident’s assessment under subd. 1. to assure the assessment’s continuing accuracy. 7. The assessment conducted under subd. 1. shall be used in developing, reviewing and revising a nursing facility resident’s plan of care under par. (b). 8. A nursing facility shall coordinate an assessment conducted under this paragraph with the conduct of preadmission screening under s. 49.45 (6c) (b) to the maximum extent practicable in order to avoid duplicative testing and effort.
A nursing facility shall conduct a comprehensive, accurate, standardized reproducible assessment of each resident’s functional capacity that: a. Describes the resident’s capability to perform daily life functions and significant impairments in the resident’s functional capacity. b. Is based on a uniform minimum data set of core elements and common definitions specified as required under 42 USC 1395i-3 (f) (6) (A). c. Uses an instrument which shall be specified by the department by rule. d. Includes identification of the resident’s medical problems.
Describes the resident’s capability to perform daily life functions and significant impairments in the resident’s functional capacity.
Is based on a uniform minimum data set of core elements and common definitions specified as required under 42 USC 1395i-3 (f) (6) (A).
Uses an instrument which shall be specified by the department by rule.
Includes identification of the resident’s medical problems.
A registered professional nurse shall conduct or coordinate with the appropriate participation of health professionals, sign and certify the completion of an assessment under subd. 1. Each individual who completes a portion of the assessment shall sign and certify as to the accuracy of that portion of the assessment.
No individual may willfully and knowingly certify under subd. 2. a material and false statement in an assessment.
No individual may willfully and knowingly cause another individual to certify under subd. 2. a material and false statement in an assessment.
If the department determines by survey of a nursing facility or otherwise that an individual has knowingly and willfully certified a false assessment under subd. 2., the department may require that individuals who are independent of the nursing facility and are approved by the department conduct and certify assessments under this paragraph.
A nursing facility shall: a. Conduct an assessment under subd. 1. no later than 4 days after the admission of an individual admitted after September 30, 1990. b. Conduct all of the assessments under subd. 1. for a resident of the nursing facility by October 1, 1991, for a resident who resides in the facility on that date; promptly after a significant change in a resident’s physical or mental condition; and, for every resident, no less often than once every 12 months. c. Examine a resident no less frequently than once every 3 months and, as appropriate, revise the resident’s assessment under subd. 1. to assure the assessment’s continuing accuracy.
Conduct an assessment under subd. 1. no later than 4 days after the admission of an individual admitted after September 30, 1990.
Conduct all of the assessments under subd. 1. for a resident of the nursing facility by October 1, 1991, for a resident who resides in the facility on that date; promptly after a significant change in a resident’s physical or mental condition; and, for every resident, no less often than once every 12 months.
Examine a resident no less frequently than once every 3 months and, as appropriate, revise the resident’s assessment under subd. 1. to assure the assessment’s continuing accuracy.
The assessment conducted under subd. 1. shall be used in developing, reviewing and revising a nursing facility resident’s plan of care under par. (b).
A nursing facility shall coordinate an assessment conducted under this paragraph with the conduct of preadmission screening under s. 49.45 (6c) (b) to the maximum extent practicable in order to avoid duplicative testing and effort.
1. To the extent needed to fulfill the plans of care required under par. (b), a nursing facility shall provide or arrange for the provision of all of the following, which shall meet professional standards of quality: a. Nursing services and specialized rehabilitative services to attain or maintain the highest practicable physical, mental and psychosocial well-being of each resident. b. Medically related social services to attain or maintain the highest practicable physical, mental and psychosocial well-being of each resident. c. Pharmaceutical services, including procedures that assure the accurate acquiring, receiving, dispensing and administering of all drugs and biologicals, to meet the needs of each resident. d. Dietary services that assure that the meals meet the daily nutritional and special dietary needs of each resident. e. An ongoing program, directed by a qualified professional, of activities designed to meet the interests and the physical, mental and psychosocial well-being of each resident. f. Routine dental services to the extent covered under the approved state medicaid plan and emergency dental services to meet the needs of each resident. 2. Services specified under subd. 1. a. to d. and f. shall be provided to a resident by qualified persons in accordance with the resident’s written plan of care under par. (b). 3. Unless waived under subd. 4., a nursing facility shall: a. Provide 24-hour per day licensed nursing services which are sufficient to meet the nursing needs of its residents; and b. Shall use the services of a registered professional nurse at least 8 consecutive hours per day, 7 days per week. 4. Subject to subd. 5., the department may waive the requirement under subd. 3. a. or b. if all of the following apply: a. The nursing facility demonstrates to the satisfaction of the department that the nursing facility has been unable, despite diligent efforts including offering wages at the community prevailing rate for nursing facilities, to recruit appropriate personnel. b. The department determines that a waiver of the requirement will not endanger the health or safety of nursing facility residents. c. The department finds that a registered professional nurse or a physician is obligated to respond immediately to telephone calls from the nursing facility for any periods in which licensed nursing services are not available. 5. A waiver under subd. 4. is subject to annual review by the department and to review by the secretary of the federal department of health and human services. The department may, in granting or reviewing a waiver, require the nursing facility to employ other qualified, licensed personnel.
To the extent needed to fulfill the plans of care required under par. (b), a nursing facility shall provide or arrange for the provision of all of the following, which shall meet professional standards of quality: a. Nursing services and specialized rehabilitative services to attain or maintain the highest practicable physical, mental and psychosocial well-being of each resident. b. Medically related social services to attain or maintain the highest practicable physical, mental and psychosocial well-being of each resident. c. Pharmaceutical services, including procedures that assure the accurate acquiring, receiving, dispensing and administering of all drugs and biologicals, to meet the needs of each resident. d. Dietary services that assure that the meals meet the daily nutritional and special dietary needs of each resident. e. An ongoing program, directed by a qualified professional, of activities designed to meet the interests and the physical, mental and psychosocial well-being of each resident. f. Routine dental services to the extent covered under the approved state medicaid plan and emergency dental services to meet the needs of each resident.
Nursing services and specialized rehabilitative services to attain or maintain the highest practicable physical, mental and psychosocial well-being of each resident.
Medically related social services to attain or maintain the highest practicable physical, mental and psychosocial well-being of each resident.
Pharmaceutical services, including procedures that assure the accurate acquiring, receiving, dispensing and administering of all drugs and biologicals, to meet the needs of each resident.
Dietary services that assure that the meals meet the daily nutritional and special dietary needs of each resident.
An ongoing program, directed by a qualified professional, of activities designed to meet the interests and the physical, mental and psychosocial well-being of each resident.
Routine dental services to the extent covered under the approved state medicaid plan and emergency dental services to meet the needs of each resident.
Services specified under subd. 1. a. to d. and f. shall be provided to a resident by qualified persons in accordance with the resident’s written plan of care under par. (b).
Unless waived under subd. 4., a nursing facility shall: a. Provide 24-hour per day licensed nursing services which are sufficient to meet the nursing needs of its residents; and b. Shall use the services of a registered professional nurse at least 8 consecutive hours per day, 7 days per week.
Provide 24-hour per day licensed nursing services which are sufficient to meet the nursing needs of its residents; and
Shall use the services of a registered professional nurse at least 8 consecutive hours per day, 7 days per week.
Subject to subd. 5., the department may waive the requirement under subd. 3. a. or b. if all of the following apply: a. The nursing facility demonstrates to the satisfaction of the department that the nursing facility has been unable, despite diligent efforts including offering wages at the community prevailing rate for nursing facilities, to recruit appropriate personnel. b. The department determines that a waiver of the requirement will not endanger the health or safety of nursing facility residents. c. The department finds that a registered professional nurse or a physician is obligated to respond immediately to telephone calls from the nursing facility for any periods in which licensed nursing services are not available.
The nursing facility demonstrates to the satisfaction of the department that the nursing facility has been unable, despite diligent efforts including offering wages at the community prevailing rate for nursing facilities, to recruit appropriate personnel.
The department determines that a waiver of the requirement will not endanger the health or safety of nursing facility residents.
The department finds that a registered professional nurse or a physician is obligated to respond immediately to telephone calls from the nursing facility for any periods in which licensed nursing services are not available.
A waiver under subd. 4. is subject to annual review by the department and to review by the secretary of the federal department of health and human services. The department may, in granting or reviewing a waiver, require the nursing facility to employ other qualified, licensed personnel.
Except as otherwise provided in s. 146.40, all of the following apply: 2. A nursing facility may not use the individual as a nurse aide unless the nursing facility has inquired of the department concerning information about the individual in the registry under s. 146.40 (4g). 3. A nursing facility shall provide the regular performance review and regular in-service education that assures that individuals used as nurse aides are competent to perform services as nurse aides, including training for individuals to provide nursing and nursing-related services to nursing facility residents with cognitive impairments.
A nursing facility may not use the individual as a nurse aide unless the nursing facility has inquired of the department concerning information about the individual in the registry under s. 146.40 (4g).
A nursing facility shall provide the regular performance review and regular in-service education that assures that individuals used as nurse aides are competent to perform services as nurse aides, including training for individuals to provide nursing and nursing-related services to nursing facility residents with cognitive impairments.
A nursing facility shall do all of the following: 1. Require that the health care of every nursing facility resident be provided under the supervision of a physician. 2. Provide for the availability of a physician to furnish necessary medical care in case of emergency. 3. Maintain clinical records on all nursing facility residents which include all of the following: a. Written plans of care, as required under par. (b). b. Assessments, as required under par. (c). c. Results of any preadmission screening conducted under s. 49.45 (6c) (b).
Require that the health care of every nursing facility resident be provided under the supervision of a physician.
Provide for the availability of a physician to furnish necessary medical care in case of emergency.
Maintain clinical records on all nursing facility residents which include all of the following: a. Written plans of care, as required under par. (b). b. Assessments, as required under par. (c). c. Results of any preadmission screening conducted under s. 49.45 (6c) (b).
Written plans of care, as required under par. (b).
Assessments, as required under par. (c).
Results of any preadmission screening conducted under s. 49.45 (6c) (b).