NAC449.713. Program requirements.

     1. A facility must maintain arrangements through which medical, dental and remedial services, such as laboratory services or X-ray, required by the resident but not regularly provided within the facility, may be obtained when needed.

     2. The facility must provide, according to the needs of each resident, specialized and supportive rehabilitative services either directly or through arrangements with qualified outside resources.

     3. These services must be provided under a written plan of care:

     (a) Based on the attending physician’s orders;

     (b) Based on an assessment of the resident’s needs;

     (c) Which is reviewed regularly, noting a resident’s progress; and

     (d) Which is altered or revised as necessary.

     4. Services must be provided in accordance with accepted professional practices by qualified therapists or by qualified assistants or other supportive personnel under appropriate supervision.

     5. Areas utilized to provide therapy services must be of sufficient size and appropriate design to accommodate necessary equipment, conduct examinations and provide treatment.

     6. The facility must provide social services as needed by the residents either directly or by written arrangement with an outside source. A designated member of the staff who is qualified by training or experience must be responsible for implementing and coordinating social services. A plan for social services must be recorded in the patient’s record and must be periodically evaluated in conjunction with the total plan of care for the resident.

     7. The facility must provide a program of activities.

     8. A plan for independent and group activities must be developed for each resident in accordance with his or her needs and interests. The program of activities must be incorporated in the overall plan of care for the resident. The program must be reviewed with the participation of the resident at least quarterly and altered as needed.

     9. Adequate recreational areas must be provided and sufficient equipment and materials must be available.

     [Bd. of Health, Intermediate Care Facilities Reg. §§ 4.1-4.4.2.1, eff. 12-5-75]