Utah Admin. Code R432-200-18 - Resident Care Plans

(1) The licensee shall ensure the following regarding resident care plans:

(a) a written resident care plan, coordinated with nursing and other services, is initiated for each resident upon admission;

(b) the resident care plan is personalized and indicates:

(i) measurable and time-limited objectives;

(ii) the plan of care; and

(iii) the professional discipline responsible for each element of care;

(c) the resident care plan is developed, reviewed, revised, and updated at least annually through documented conferences with any professionals involved in the resident's care;

(d) each resident's care is based on their individualized plan;

(e) the resident care plan is available to any personnel who care for the resident;

(f) the resident and family shall participate in the development and review of the resident's plan;

(g) upon transfer or discharge of the resident, relevant information from the resident care plan is made available to the responsible institution or agency; and

(h) a licensed nurse or other clinical specialist, where appropriate, completes a monthly summary of the resident's status and problems identified in the resident care plan.

(2) The licensee shall ensure that each resident care plan shall include the following:

(a) name, age, and gender of resident;

(b) diagnosis, symptoms, and resident complaints;

(c) a description of the functional level of the individual;

(d) care objectives and time frames for accomplishment, reevaluation, and completion;

(e) discipline or person responsible for each objective;

(f) discharge plan;

(g) date of admission; and

(h) name of attending physician or medical practitioner.

Notes

Utah Admin. Code R432-200-18

Amended by Utah State Bulletin Number 2024-03, effective 1/22/2024