The facility must conduct and document a facility-wide
assessment to determine what resources are necessary to care for its residents
competently during both day-to-day operations and emergencies. The facility
must review and update that assessment, as necessary, and at least annually.
The facility must also review and update this assessment whenever there is, or
the facility plans for, any change that would require a substantial
modification to any part of this assessment. The facility must address or
include:
(1) the facility's resident
population, including:
(A) both the number of
residents and the facility's resident capacity;
(B) the care required by the resident
population considering the types of diseases, conditions, physical and
cognitive disabilities, overall acuity, and other pertinent facts that are
present within that population;
(C)
the staff competencies that are necessary to provide the level and types of
care needed for the resident population;
(D) the physical environment, equipment,
services, and other physical plant considerations that are necessary to care
for this population; and
(E) any
ethnic, cultural, or religious factors that may potentially affect the care
provided by the facility, including activities and food and nutrition
services;
(2) the
facility's resources, including:
(A) all
buildings and other physical structures and vehicles;
(B) equipment (medical and
non-medical);
(C) services
provided, such as physical therapy, pharmacy, and specific rehabilitation
therapies;
(D) all personnel,
including managers, employees, contractors, and volunteers, as well as their
education, training and any competencies related to resident care;
(E) contracts, memorandums of understanding,
or other agreements with their parties to provide services or equipment to the
facility during both normal operations and emergencies; and
(F) health information technology resources,
such as systems for electronically managing patient records and electronically
sharing information with other organizations; and
(3) a facility-based and community-based risk
assessment, utilizing an all-hazards approach.
Notes
26
Tex. Admin. Code §
554.1931
Adopted
by
Texas
Register, Volume 45, Number 12, March 20, 2020, TexReg
2051, eff.
3/24/2020; Entire
chapter transferred from Title 40, Pt. 1, Ch. 19 by
Texas
Register, Volume 45, Number 50, December 11, 2020, TexReg
8871, eff.
1/15/2021
