They also include providing or making available provision for local transportation, personal assistance services with ADLs, recreational activities, and supervision of self-medication. Personal care assistance is provided while encouraging residents to maintain independence and a sense of self- direction. Dietary Facilities establish and maintain policies addressing the preparation and serving of meals in amount and variety sufficient to meet the nutritional needs of each resident. Therapeutic diets must be provided when ordered by a physician. Meals must offer an alternative food or drink to give residents a choice.
Staff receive training in food, nutrition, and diet planning.
Provisions for serving people with dementia Must be included in staff training and orientation requirements. Medications Staff may assist with self-administration of medications. Reimbursement About 200 beneficiaries were receiving HCB8 in personal care facilities in April 2000. Family supplementation is allowed by state policy for room and board only. HCB8 case managers complete the assessment and determine the payment rate in accordance with state policy.