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HOW MUST A SKILLED NURSING FACILITY DETERMINE THE LEVEL OF CARE A
PATIENT NEEDS?
A
facility must complete a full assessment of a resident's condition
within 14 days after admission, and at least once every 12 months
thereafter. More limited
assessments must be done at least quarterly. (Sec. 483.20(b),(c) of
Title 42 of the Code of Federal Regulations)
Assessments
are done with a standardized assessment instrument called the
"Minimum Data Set" (MDS).
Assessments
are used for development of a comprehensive care plan, which must be
prepared initially within seven days after completion of the first
full assessment. Every three months, care plans must be reviewed and,
if necessary, revised. (Sec. 483.20(d)(k) of Title 42 of the Code of
Federal Regulations)
A
resident and/or resident's representative has the right to participate
in a care plan conference. (Sec. 483.20(k) of Title 42 of the Code of
Federal Regulations)
A care
plan must include measurable objectives and timetables. (Sec.
483.20(k) Title 24 of the Code of Federal Regulations)
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