42 CFR 456.610 - Basis for determinations.
In making the determinations on adequacy of services and related matters under § 456.609 for each beneficiary, the team may consider such items as whether—
(a) The medical evaluation, any required social and psychological evaluations, and the plan of care are complete and current; the plan of care and, where required, the plan of rehabilitation are followed; and all ordered services, including dietary orders, are provided and properly recorded;
(c) Tests or observations of each beneficiary indicated by his medication regimen are made at appropriate times and properly recorded;
(d) Physician, nurse, and other professional progress notes are made as required and appear to be consistent with the observed condition of the beneficiary;
(g) The beneficiary needs any service that is not furnished by the facility or through arrangements with others; and
(h) The beneficiary needs continued placement in the facility or there is an appropriate plan to transfer the beneficiary to an alternate method of care.
[43 FR 45266, Sept. 29, 1978, as amended at 61 FR 38399, July 24, 1996]
Title 42 published on 2013-10-01
no entries appear in the Federal Register after this date.