Iowa Admin. Code r. 481-63.19 - Orientation and service plan
(1)
Orientation. Within 24 hours of
admission, each resident shall receive orientation to the facility. The
orientation program shall be documented in the resident's file and shall
include, but shall not be limited to, a review of the resident's rights, the
daily schedule, house rules and the facility's evacuation plan. (II,
III)
(2)
Initial service
plan. Within 48 hours of admission, the administrator or the
administrator 's designee shall develop an initial service plan to address any
immediate health and safety needs. The plan shall be based on information
gathered from the resident, family, referring party, primary care provider , and
other significant persons. The plan shall be followed until the service plan
required in subrule 63.19(3) is complete. (I, II, III)
(3)
Service plan. Within 30 days of
admission, the administrator or the administrator 's designee, in conjunction
with the resident and the resident's interdisciplinary team , shall develop a
written, individualized, and integrated service plan for the resident. The
service plan shall be developed and implemented to address the resident's
priorities and assessed needs, such as activities of daily living,
rehabilitation, activity, and social, behavioral, emotional, physical and
mental health. (I, II, III)
a. The service
plan shall include measurable goals and objectives and the specific service(s)
to be provided to achieve the goals. Each goal shall include the date of
initiation and anticipated duration of service(s). Any restriction of rights
shall be included in the service plan. (I, II, III)
b. The service plan shall include the documentation
procedure for each goal and objective. (II, III)
c. The service plan should be modified to add or
delete goals and objectives as the resident's needs change. Communications
related to service plan changes or changes in the resident's condition shall
occur within five working days of the change and shall be conveyed to all
individuals inside and outside the residential care facility who work with the
resident, as well as to the resident's responsible party . (I, II,
III)
d. The service plan shall be
reviewed at least quarterly by relevant staff, the resident and appropriate
others, such as the resident's family, case manager and responsible party . The
review shall include a written report which addresses a summary of the
resident's progress toward goals and objectives and the need for continued
services. (I, II, III)
Notes
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