Kan. Admin. Regs. § 26-41-204 - Health care services
(a) The
administrator or operator in each assisted living facility or residential
health care facility shall ensure that a licensed nurse provides or coordinates
the provision of necessary health care services that meet the needs of each
resident and are in accordance with the functional capacity screening and the
negotiated service agreement.
(b)
If the functional capacity screening indicates that a resident is in need of
health care services, a licensed nurse, in collaboration with the resident, the
resident's legal representative, the case manager, and, if agreed to by the
resident or resident's legal representative, the resident's family, shall
develop a health care service plan to be included as part of the negotiated
service agreement.
(c) The health
care services provided by or coordinated by a licensed nurse may include the
following:
(1) Personal care provided by
direct care staff or by certified or licensed nursing staff employed by a home
health agency or a hospice;
(2)
personal care provided gratuitously by friends or family members; and
(3) supervised nursing care provided by, or
under the guidance of, a licensed nurse.
(d) The negotiated service agreement shall
contain a description of the health care services to be provided and the name
of the licensed nurse responsible for the implementation and supervision of the
plan.
(e) A licensed nurse may
delegate nursing procedures not included in the nurse aide or medication aide
curric-ulums to nurse aides or medication aides, respectively, under the Kansas
nurse practice act,
K.S.A. 65-1124 and amendments thereto.
(f) Each administrator or operator shall
ensure that a licensed nurse is available to provide immediate direction to
medication aides and nurse aides for residents who have unscheduled
needs.
(g) Skilled nursing care
shall be provided in accordance with
K.S.A. 39-923 and amendments thereto.
(1) The health care service plan shall
include the skilled nursing care to be provided and the name of the licensed
nurse or agency responsible for providing each service.
(2) The licensed nurse providing the skilled
nursing care shall document the service and the outcome of the service in the
resident's record.
(3) A medical
care provider's order for skilled nursing care shall be documented in the
resident's record in the facility. A copy of the medical care provider's order
from a home health agency or hospice may be used. Medical care provider orders
in the clinical records of a home health agency located in the same building as
the facility may also be used if the clinical records are available to licensed
nurses and direct care staff of the facility.
(4) The administrator or operator shall
ensure that a licensed nurse is available to meet each resident's unscheduled
needs related to skilled nursing services.
(h) A licensed nurse may provide wellness and
health monitoring as specified in the resident's negotiated service
agreement.
(i) All health care
services shall be provided to residents by qualified staff in accordance with
acceptable standards of practice.
Notes
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No prior version found.