Subpart
1.
Care in general.
A resident must receive nursing care and treatment, personal
and custodial care, and supervision based on individual needs and preferences
as identified in the comprehensive resident assessment and plan of care as
described in parts 4658.0400 and 4658.0405. A nursing home resident must be out
of bed as much as possible unless there is a written order from the attending
physician that the resident must remain in bed or the resident prefers to
remain in bed.
Subp. 2.
Criteria for determining adequate and proper care.
The criteria for determining adequate and proper care
include:
A. evidence of adequate care
and kind and considerate treatment at all times. Privacy must be respected and
safeguarded;
B. clean skin and
freedom from offensive odors. A bathing plan must be part of each resident's
plan of care. A resident whose condition requires that the resident remain in
bed must be given a complete bath at least every other day and more often as
indicated. An incontinent resident must be checked at least every two hours,
and must receive perineal care following each episode of incontinence. Clean
linens or clothing must be provided promptly each time the bed or clothing is
soiled. Perineal care includes the washing and drying of the perineal area.
Pads or diapers must be used to keep the bed dry and for the resident's
comfort. Special attention must be given to the skin to prevent irritation.
Rubber, plastic, or other types of protectors must be kept clean, be completely
covered, and not come in direct contact with the resident. Soiled linen and
clothing must be removed immediately from resident areas to prevent
odors;
C. a shampoo at least weekly
and assistance with daily hair grooming as needed;
D. assistance with or supervision of shaving
of all residents as necessary to keep them clean and well-groomed;
E. assistance as needed with oral hygiene to
keep the mouth, teeth, or dentures clean. Measures must be used to prevent dry,
cracked lips;
F. proper care and
attention to hands and feet. Fingernails and toenails must be kept clean and
trimmed;
G. bed linen changed
weekly, or more often as needed. Beds must be made daily and straightened as
necessary;
H. clean clothing and a
neat appearance. Residents must be dressed during the day whenever
possible;
I. monitoring resident
temperature, pulse, respiration, and blood pressure as often as indicated by
the resident's condition but at least weekly; and
J. recording resident height and weight at
the time of admission and weight at least monthly thereafter.
