26 Tex. Admin. Code § 554.2706 - Nursing Facility Responsibilities Related to a Designated Resident
(a) A nursing facility employee, nursing
facility contractor, or nursing facility specialized services provider must
report to the LIDDA the identity of any designated resident who expresses an
interest in transitioning to the community.
(b) For a designated resident, a nursing
facility must designate staff and necessary contractors to be members of the
resident's SPT.
(c) A nursing
facility must ensure its staff and contractors who are members of a designated
resident's SPT:
(1) attend and participate in
the designated resident's SPT meetings as scheduled and convened by the service
coordinator;
(2) contribute to the
development of the designated resident's ISP; and
(3) assist the SPT by:
(A) monitoring all nursing facility
specialized services, LIDDA specialized services and LMHA specialized services,
if applicable, provided to the designated resident to ensure the designated
resident's needs are being met;
(B)
making timely referrals, service changes, and amendments to the ISP as
needed;
(C) ensuring that the
designated resident's ISP, including nursing facility specialized services,
nursing facility PASRR support activities, and LIDDA specialized services, is
coordinated with the nursing facility's comprehensive care plan;
(D) if the designated resident has expressed
interest in community living:
(i) developing
a transition plan for the designated resident to live in the community; or
(ii) identifying the action the
SPT will take to address concerns and remove barriers to the designated
resident living in the community; and
(E) reviewing and discussing the information
included in the ISP and transition plan with key nursing facility staff who
work with the resident.
(d) A nursing facility must allow a service
coordinator access to:
(1) a designated
resident on a monthly basis, or more frequently if needed; and
(2) the designated resident's clinical
facility records.
Notes
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