Haw. Code R. § 17-1737-29 - Content of NF services
(a) Long-term
institutional services shall be provided by free-standing or distinct part NFs
that shall meet the eligibility requirements specified in chapters 17-1736 and
17-1739.
(b) NFs shall provide:
(1) Skilled nursing care and related services
for residents who require medical or nursing care;
(2) Rehabilitation services for the
rehabilitation of injured, disabled, or sick persons; or
(3) On a regular basis, health-related care
and services to individuals who because of their mental or physical condition
require care and services (above the level of room and board) which can be made
available to them only through institutional facilities, and is not primarily
for the care and treatment of mental diseases.
(c) NF services shall be provided either
directly by or under the general supervision of licensed practical nurses or
registered professional nurses.
(d)
NF services shall include, but shall not be limited to:
(1) Room and board;
(2) Administration of medication and
treatment;
(3) Development,
management, and evaluation of the written resident care plan based on physician
orders that necessitate the involvement of skilled technical or professional
personnel to meet the resident's care needs, promote recovery, and ensure the
resident's health and safety;
(4)
Observation and assessment of the resident's unstable condition that requires
the skills and knowledge of skilled technical or professional personnel to
identify and evaluate the resident's need for possible medical intervention,
modification of treatment, or both, to stabilize the resident's
condition;
(5) Health education
services provided by skilled technical or professional personnel to teach the
recipient self care, such as gait training and self administration of
medications;
(6) Provision of
therapeutic diet and dietary supplement as ordered by the attending
physician;
(7) Laundry service,
including items of recipient's washable personal clothing;
(8) Basic nursing and treatment supplies,
such as soap, skin lotion, alcohol, powder, applicator, tongue depressor,
cotton ball, gauze, adhesive tape, band aids, incontinent pad, V-pad,
thermometer, blood pressure apparatus, plastic or rubber sheet, enema
equipment, and douche equipment;
(9) Durable medical equipment and supplies
used by residents but which are reusable, such as ice bag, hot water bottle,
urinal, bedpan, commode, cane, crutch, walker, wheelchair, and siderail and
traction equipment;
(10) Activities
of the resident's choice (including religious activities) that are designed to
provide normal pursuits for physical and psychosocial well-being;
(11) Social services provided by qualified
personnel;
(12) A review of the
drug regimen of each resident at least once a month by a licensed pharmacist,
as required for a nursing facility to participate in Medicaid;
(13) Nonrestorative or nonrehabilitative
therapy, or both, provided by nursing staff; and
(14) Provision of and payment for, through
contractual agreements with appropriate skilled technical or professional
personnel, other medical and remedial services ordered by the attending
physician which are not regularly provided by the provider. Other services that
may be needed, such as transportation to realize the provision of services
ordered by the attending physician, shall also be arranged through contractual
agreements. The contractual agreement shall stipulate the responsibilities,
functions, objectives, service fee, and other terms agreed to by the NF and the
person or entity that contracts to provide the service.
(15) Feeding assistance performed by a
feeding assistant, nurse aide, or nurse. The feeding assistant must work under
the supervision of a registered nurse or licensed practical nurse who is
licensed to practice in Hawaii.
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.