NAC449.737. Plan of care.

     1. Each resident in a facility for persons with an intellectual disability or persons with a developmental disability must be a regular participant in an individual plan of care which must be prepared in written form by an interdisciplinary team consisting of at least a physician, a social worker, a qualified professional in intellectual disabilities and such other professional specialists indicated in unusual cases.

     2. The plan of care must:

     (a) Contain a complete medical, social and psychological evaluation of the resident;

     (b) Indicate the resident’s need for institutional care;

     (c) Be stated in quantifiable terms and made available to the members of the staff who implement its provisions; and

     (d) Prescribe an individually designed integrated program of therapies, experiences, activities or training.

Ê The ultimate goal of any plan of care is the maximal normalization of the resident.

     3. Each resident’s plan of care must be reviewed at least quarterly by the interdisciplinary team. This review must include:

     (a) A review of the resident’s progress toward the objectives of the plan;

     (b) An evaluation of the appropriateness of the elements of the plan;

     (c) An assessment of the need for continuing institutional care; and

     (d) A consideration of alternate methods of care.

     4. If an interdisciplinary team determines that a resident no longer requires institutional care, a postinstitutional plan must be written by a qualified professional in intellectual disabilities and other appropriate professionals providing for appropriate services, protective supervision where necessary, and other follow-up services in the resident’s new environment. A summary must be placed in the resident’s file.

     5. The facility must provide or arrange for the provision of the services of qualified professionals as indicated in the resident’s individualized plan of care. Available services must include, but are not limited to:

     (a) Physical and occupational therapy;

     (b) Psychological services;

     (c) Social services;

     (d) Speech pathology and audiology;

     (e) Organized recreational activities; and

     (f) Physician’s services, including:

          (1) An annual physical examination; and

          (2) Formal arrangements for 24-hour emergency treatment every day of the week.

     [Bd. of Health, Intermediate Care Facilities Reg. §§ 16.5-16.7 & 16.14-16.14.6.2, eff. 12-5-75]