reglab/statecodes huggingface dataset:
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 3 - Skilled Nursing Facilities › Article 3 - Required Services › Section 72357 - Pharmaceutical Service-Labeling and Storage of Drugs

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Containers which are cracked, soiled or
				  without secure closures shall not be used. Drug labels shall be
				  legible.
(b) All drugs obtained by
				  prescription shall be labeled in compliance with state and federal laws
				  governing prescription dispensing. No person other than the dispenser of the
				  drug shall alter any prescription label.
(c) Nonlegend drugs shall be labeled in
				  conformance with state and federal food and drug laws.
(d) Test reagents, germicides, disinfectants
				  and other household substances shall be stored separately from drugs and shall
				  not be accessible to patients.
(e)
				  External use drugs in liquid, tablet, capsule or powder form shall be stored
				  separately from drugs for internal use.
(f) Drugs shall be stored in appropriate
				  temperatures. Drugs required to be stored at room temperature shall be stored
				  at a temperature between 15°C (59°F) and 30°C (86°F). Drugs
				  requiring refrigeration shall be stored in a refrigerator between 2°C
				  (36°F) and 8°C (46°F). When drugs are stored in the same
				  refrigerator with food, the drugs shall be kept in a closed container clearly
				  labeled "drugs."
(g) Drugs shall be
				  stored in an orderly manner in cabinets, drawers or carts of sufficient size to
				  prevent crowding.
(h) Dose
				  preparation and administration areas shall be well-lighted.
(i) Drugs shall be accessible only to
				  personnel designated in writing by the licensee.
(j) Storage of nonlegend drugs at the bedside
				  shall meet the following conditions:
(1) The
				  manner of storage shall prevent access by other patients. Lockable drawers or
				  cabinets need not be used unless alternate procedures, including storage on a
				  patient's person or in an unlocked drawer or cabinet are ineffective.
(2) The facility shall record in the patient
				  health record the bedside medications used by the patient, based on observation
				  by nursing personnel and/or information supplied by the patient.
(3) The quantity of each drug supplied to the
				  patient for bedside storage shall be recorded in the health record each time
				  the drug is so supplied.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 3 - Skilled Nursing Facilities › Article 3 - Required Services › Section 72359 - Pharmaceutical Service-Stop Orders

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Written policies shall be established and implemented
					 limiting the duration of new drug orders in the absence of a prescriber's
					 specific indication for duration of therapy. The prescriber shall be contacted
					 for new orders prior to the termination time established by the policy. Such
					 policies shall include all categories of drugs.
Note: Authority cited: Sections
						208(a)
						and
						1275,
						Health and Safety Code. Reference: Section
						1276,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 3 - Skilled Nursing Facilities › Article 3 - Required Services › Section 72361 - Pharmaceutical Service - Orders for Drugs

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) No drugs shall be administered except
				  upon the order of a person lawfully authorized to prescribe for and treat human
				  illness.
(b) All drug orders shall
				  be written, dated, and signed by the person lawfully authorized to give such an
				  order. The name, quantity or specific duration of therapy, dosage and time or
				  frequency of administration of the drug, and the route of administration if
				  other than oral shall be specified. "P.R.N." orders shall also include the
				  indication for use of a drug.
(c)
				  Verbal orders for drugs and treatments shall be received only by licensed
				  nurses, psychiatric technicians, pharmacists, physicians, physician's
				  assistants from their supervising physicians only, and respiratory care
				  practitioners when the orders relate specifically to respiratory care. Such
				  orders shall be recorded immediately in the patient's health record by the
				  person receiving the order and shall include the date and time of the order.
				  The order shall be signed by the prescriber within five days.
(d) The signing of orders shall be by
				  signature or a personal computer key. Signature stamps shall not be
				  used.
1. Change
					 without regulatory effect amending section heading and subsections (b) and (c)
					 and amending NOTE filed 3-12-2013 pursuant to section
					 100, title 1, California Code of
					 Regulations (Register 2013, No. 11).
Note: Authority cited: Sections
						1275
						and
						131200,
						Health and Safety Code. Reference: Sections
						1276,
						131050,
						131051
						and
						131052,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 3 - Skilled Nursing Facilities › Article 3 - Required Services › Section 72363 - Pharmaceutical Service-Drug Order Processing

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Signed orders for drugs shall be transmitted to the issuing
					 pharmacy within 48 hours, either by written prescription of the prescriber or
					 by an order form which produces a direct copy of the order or by an
					 electronically reproduced facsimile.
Note: Authority cited: Sections
						208(a)
						and
						1275,
						Health and Safety Code. Reference: Section
						1276,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 3 - Skilled Nursing Facilities › Article 3 - Required Services › Section 72365 - Pharmaceutical Service-Drug Order Records

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Facilities shall maintain a record which includes, for each
					 drug ordered by prescription, the name of the patient, the drug name, and
					 strength, the date ordered, the date and amount received and the name of the
					 issuing pharmacy. The records shall be kept at least one
					 year.
Note: Authority cited: Sections
						208(a)
						and
						1275,
						Health and Safety Code. Reference: Section
						1276,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 3 - Skilled Nursing Facilities › Article 3 - Required Services › Section 72367 - Pharmaceutical Service-Personal Medications

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Medications brought by or with the
				  patient on admission to the facility shall not be used unless the contents of
				  the containers have been examined and positively identified after admission by
				  the patient's physician or a pharmacist retained by the facility.
(b) The facility may use drugs transferred
				  from other licensed health facilities or those drugs dispensed or obtained
				  after admission from any licensed or governmental pharmacy and may accept the
				  delivery of those drugs by any agent of the patient or pharmacy without the
				  necessity of identification by a physician or pharmacist.
Note: Authority cited: Sections
						208(a)
						and
						1275,
						Health and Safety Code. Reference: Section
						1276,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 3 - Skilled Nursing Facilities › Article 3 - Required Services › Section 72369 - Pharmaceutical Service-Controlled Drugs

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Drugs listed in Schedules II, III and IV
				  of the Federal Comprehensive Drug Abuse Prevention and Control Act of 1970
				  shall not be accessible to other than licensed nursing, pharmacy and medical
				  personnel designated by the licensee. Drugs listed in Schedule II of the above
				  Act shall be stored in a locked cabinet or a locked drawer separate from
				  noncontrolled drugs unless they are supplied on a scheduled basis as part of a
				  unit dose medication system.
(b)
				  Separate records of use shall be maintained on all Schedule II drugs. Such
				  records shall be maintained accurately and shall include the name of the
				  patient, the prescription number, the drug name, strength and dose
				  administered, the date and time of administration and the signature of the
				  person administering the drug. Such records shall be reconciled at least daily
				  and shall be retained at least one year. If such drugs are supplied on a
				  scheduled basis as part of a unit dose medication system, such records need not
				  be maintained separately.
(c) Drug
				  records shall be maintained for drugs listed in Schedules III and IV of the
				  above Act in such a way that the receipt and disposition of each dose of any
				  such drug may be readily traced. Such records need not be separate from other
				  medication records.
Note: Authority cited: Sections
						208(a)
						and
						1275,
						Health and Safety Code. Reference: Section
						1276,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 3 - Skilled Nursing Facilities › Article 3 - Required Services › Section 72371 - Pharmaceutical Service-Disposition of Drugs

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Drugs which have been dispensed for
				  individual patient use and are labeled in conformance with State and Federal
				  law for outpatient use shall be furnished to patients on discharge on the
				  orders of the discharging physician. If the physician's discharge orders do not
				  include provisions for drug dispositions, drugs shall be furnished to patients
				  unless:
(1) The discharging physician
				  specifies otherwise or,
(2) The
				  patient leaves or is discharged without a physician's order or approval
				  or,
(3) The patient is discharged
				  to a general acute care hospital, acute psychiatric hospital, or acute care
				  rehabilitation hospital or,
(4) The
				  drug was discontinued prior to discharge or,
(5) The labeled directions for use are not
				  substantially the same as most current orders for the drug in the patient's
				  health record.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 3 - Skilled Nursing Facilities › Article 3 - Required Services › Section 72373 - Pharmaceutical Service-Unit Dose Medication System

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
In facilities utilizing a unit dose medication system,
					 there shall be at least a 24-hour supply of all patient medications on hand at
					 all times, except those drugs which are to be discontinued within the 24-hour
					 period. Drugs that are part of a unit dose medication system shall not exceed a
					 48-hour supply.
Note: Authority cited: Sections
						208(a)
						and
						1275,
						Health and Safety Code. Reference: Section
						1276,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 3 - Skilled Nursing Facilities › Article 3 - Required Services › Section 72375 - Pharmaceutical Service-Staff

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Facilities shall retain a consulting
				  pharmacist who devotes a sufficient number of hours during a regularly
				  scheduled visit, for the purpose of coordinating, supervising and reviewing the
				  pharmaceutical service committee, or its equivalent, at least quarterly. The
				  report shall include a log or record of time spent in the facility. There shall
				  be a written agreement between the pharmacist and the facility which includes
				  duties and responsibilities of both.
(b) A pharmacist shall serve on the
				  pharmaceutical service committee and the patient care policy
				  committee.
(c) A pharmacist shall
				  review the drug regimen of each patient at least monthly and prepare
				  appropriate reports. The review of the drug regimen of each patient shall
				  include all drugs currently ordered, information concerning the patient's
				  condition relating to drug therapy, medication administration records, and
				  where appropriate, physician's progress notes, nurse's notes, and laboratory
				  test results. The pharmacists shall be responsible for reporting, in writing,
				  irregularities in the dispensing and administration of drugs and other matters
				  relating to the review of the drug regimen to the administrator and director of
				  the nursing service.
Note: Authority cited: Sections
						208(a)
						and
						1275,
						Health and Safety Code. Reference: Section
						1276,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 3 - Skilled Nursing Facilities › Article 3 - Required Services › Section 72377 - Pharmaceutical Service-Equipment and Supplies

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) There shall be adequate equipment and
				  supplies necessary for the provision of pharmaceutical services within the
				  facility including at least the following:
(1) Refrigerator with an accurate
				  thermometer.
(2) Lockable drug
				  cabinets, drawers, closets or rooms.
(3) Drug service trays and/or
				  carts.
(4) Drug preparation counter
				  area and convenient water source.
(5) Reference materials containing drug
				  monographs on all drugs in use in the facility. Such monographs shall include
				  information concerning generic and brand names, if applicable, available
				  strengths and dosage forms and pharmacological data including indications and
				  side effects.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 3 - Skilled Nursing Facilities › Article 3 - Required Services › Section 72379 - Activity Program-General

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
An activity program means a program which is staffed and
					 equipped to encourage the participation of each patient, to meet the needs and
					 interests of each patient and to encourage self-care and resumption of normal
					 activities.
Note: Authority cited: Sections
						208(a)
						and
						1275,
						Health and Safety Code. Reference: Section
						1276,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 3 - Skilled Nursing Facilities › Article 3 - Required Services › Section 72381 - Activity Program-Requirements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Patients shall be encouraged to
				  participate in activities planned to meet their individual needs. An activity
				  program shall have a written, planned schedule of social and other purposeful
				  independent or group activities. The program shall be designed to make life
				  more meaningful, to stimulate and support physical and mental capabilities to
				  the fullest extent, to enable the patient to maintain the highest attainable
				  social, physical and emotional functioning but not necessarily to correct or
				  remedy a disability.
(b) The
				  activity program shall consist of individual, small and large group activities
				  which are designed to meet the needs and interests of each patient and which
				  include, but are not limited to:
(1) Social
				  activities.
(2) Indoor and
				  out-of-doors activities, which may include supervised daily walks.
(3) Activities away from the
				  facility.
(4) Religious
				  programs.
(5) Opportunity for
				  patient involvement for planning and implementation of the activity
				  program.
(6) Creative
				  activities.
(7) Educational
				  activities.
(8) Exercise
				  activities.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 3 - Skilled Nursing Facilities › Article 3 - Required Services › Section 72383 - Activity Program-Activity Plan

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) An activity plan shall:
(1) Be developed and implemented for each
				  patient and shall be integrated with the individual interdisciplinary patient
				  care plan.
(2) Be reviewed
				  quarterly and approved, in writing, by the attending physician as not in
				  conflict with the treatment plan.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 3 - Skilled Nursing Facilities › Article 3 - Required Services › Section 72385 - Activity Program-Staff

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Activity program personnel with
				  appropriate training and experience shall be available to meet the needs and
				  interests of patients.
(b) An
				  activity program leader shall be designated by and be responsible to the
				  administration. An activity program leader shall meet one of the following
				  requirements:
(1) Have two years of
				  experience in a social or recreational program within the past five years, one
				  year of which was full-time in a patient activities program in a health care
				  setting.
(2) Be an occupational
				  therapist, art therapist, music therapist, dance therapist, recreation
				  therapist or occupational therapy assistant.
(3) Have satisfactorily completed at least 36
				  hours of training in a course designed specifically for this position and
				  approved by the Department and shall receive regular consultation from an
				  occupational therapist, occupational therapy assistant or recreation therapist
				  who has at least one year of experience in a health care
				  setting.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 3 - Skilled Nursing Facilities › Article 3 - Required Services › Section 72387 - Activity Program-Equipment and Supplies

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Each facility shall provide equipment and supplies for both
					 independent and group activities and for patients having special
					 needs.
Note: Authority cited: Sections
						208(a)
						and
						1275,
						Health and Safety Code. Reference: Section
						1276,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 3 - Skilled Nursing Facilities › Article 3 - Required Services › Section 72389 - Activity Program-Space

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Each facility shall provide a designated
				  activity area which meets the independent and group activity needs of patients.
				  Such areas shall be:
(1) Accessible to
				  wheelchair and ambulatory patients.
(2) Of sufficient size to accommodate
				  necessary equipment and permit unobstructed movement of wheelchair and
				  ambulatory patients or personnel responsible for instruction and
				  supervision.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 3 - Skilled Nursing Facilities › Article 4 - Optional Services › Section 72401 - Optional Service Units-General

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) "Optional service unit" means a
				  functional unit of a skilled nursing facility which is organized, staffed and
				  equipped to provide a specific type or types of patient care. A facility is not
				  required to operate an optional service unit.
(b) The following types of optional service
				  units may be operated in a skilled nursing facility: physical therapy,
				  occupational therapy, speech therapy, speech pathology, audiology, social work
				  services, and special treatment program services.
(c) If outpatient services are to be provided
				  for physical therapy, occupational therapy, speech pathology, and/or audiology
				  services, the following conditions shall be met:
(1) Outpatient service units shall be located
				  or constructed in a manner that will minimize noise, odors, hazards and
				  unsightliness to the facility's inpatients.
(2) Outpatient access to optional service
				  units shall not traverse a nursing unit.
(3) Separate toilets for men and women
				  outpatients shall be provided.
(4)
				  Drinking water facilities of a type approved by the Department shall be
				  available for outpatients and personnel.
(5) Handwashing facilities with hot and cold
				  water supply shall be provided in the optional service units.
(6) Waiting areas shall be provided with
				  sufficient floor space to seat the maximum number of persons who are expected
				  to be accommodated at any one time.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 3 - Skilled Nursing Facilities › Article 4 - Optional Services › Section 72403 - Physical Therapy Service Unit-Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) "Physical therapy service" means those
				  services ordered by a physician for a patient or upon a physician's referral
				  and provided to a patient by or under the supervision of a physical
				  therapist.
(b) Physical therapy
				  services shall include but are not limited to:
(1) Assisting the physician in an evaluation
				  of the patient's rehabilitation potential.
(2) Applying muscle, nerve, joint and
				  functional ability tests.
(3)
				  Treating patients to relieve pain and to develop or restore function.
(4) Assisting patients to achieve and
				  maintain maximum performance using physical means such as exercise, massage,
				  heat, sound, water, light or electricity.
(5) Establishing and modifying a treatment
				  program by the physical therapist, as needed, based upon initial and continuing
				  assessment of the patient.
(6)
				  Maintaining patient health records which contain pertinent information and
				  signed orders for treatment.
(A) Notes shall
				  be written and entered in the patient's health record after completion of each
				  procedure. The note shall indicate the procedure(s) and shall be signed by the
				  physical therapist.
(B) Initial and
				  continuing assessment, development of a treatment plan and discharge summary
				  shall be written and entered in each patient's health record.
(C) Individual progress notes shall be
				  written and signed at least weekly by the physical
				  therapist.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 3 - Skilled Nursing Facilities › Article 4 - Optional Services › Section 72405 - Physical Therapy Service Unit-Policies and Procedures

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Each physical therapy service Unit shall
				  have written policies and procedures for the management of the physical therapy
				  service.
(b) The policies and
				  procedures shall be established and implemented by the patient care policy
				  committee in consultation with a physical therapist.
Note: Authority cited: Sections
						208(a)
						and
						1275,
						Health and Safety Code. Reference: Section
						1276,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 3 - Skilled Nursing Facilities › Article 4 - Optional Services › Section 72407 - Physical Therapy Service Unit-Staff

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The physical therapy service unit shall
				  be under the direction of a physical therapist.
(b) A physical therapist assistant shall
				  treat patients only under the supervision of a physical therapist in accordance
				  with the Physical Therapy Practice Act, Article 4.5 (beginning with Section
				  2655) of the Business and
				  Professions Code.
(c) A physical
				  therapy aide shall work only under the direct supervision of a physical
				  therapist.
(d) There shall be
				  physical therapists, physical therapist assistants and physical therapy aides
				  to meet the identified needs of the patients.
Note: Authority cited: Sections
						208(a)
						and
						1275,
						Health and Safety Code. Reference: Section
						1276,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 3 - Skilled Nursing Facilities › Article 4 - Optional Services › Section 72409 - Physical Therapy Service Unit-Equipment

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Equipment shall be sufficient to provide
				  the physical therapy services offered. The equipment shall include but not be
				  limited to:
(1) Parallel bars.
(2) Full view mirror.
(3) Overhead pulley and weights.
(4) Set of training stairs.
(5) Treatment table enclosed by cubicle
				  curtains for privacy.
(6)
				  Availability of wheelchairs, walkers, canes, crutches and other ambulation
				  aids.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 3 - Skilled Nursing Facilities › Article 4 - Optional Services › Section 72411 - Physical Therapy Service Unit-Space

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Adequate space shall be maintained for
				  the necessary equipment needed to provide physical therapy service. The minimum
				  floor area for physical therapy service shall be 28 square meters (300 square
				  feet), no dimension of which shall be less than 3.7 meters (12 feet).
(b) A sink shall be provided in the treatment
				  area and shall have controls other than hand controls.
(c) The toilet facilities shall be located
				  nearby and equipped with grab bars on both sides of the commode and the space
				  shall be of sufficient size to allow for patient transfer activities.
Note: Authority cited: Sections
						208(a)
						and
						1275,
						Health and Safety Code. Reference: Section
						1276,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 3 - Skilled Nursing Facilities › Article 4 - Optional Services › Section 72413 - Occupational Therapy Service Unit-Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) "Occupational therapy service" means
				  those services ordered by the licensed healthcare practitioner acting within
				  the scope of his or professional licensure in which selected purposeful
				  activity is used as treatment in the rehabilitation of persons with a physical
				  or mental disability.
(b)
				  Occupational therapy services shall include but not be limited to:
(1) Assisting the licensed healthcare
				  practitioner acting within the scope of his or her professional licensure in an
				  evaluation of a patient's level of function by applying diagnostic and
				  prognostic tests.
(2) Conducting
				  and preparing written initial and continuing assessment of the patient's
				  condition and modifying treatment goals under the order of a licensed
				  healthcare practitioner acting within the scope of his or her professional
				  licensure, consistent with identified needs of the patient.
(3) Decreasing or eliminating disability
				  during patient's initial phase of recovery following injury or
				  illness.
(4) Increasing or
				  maintaining a patient's capability for independence.
(5) Enhancing a patient's physical, emotional
				  and social well-being.
(6)
				  Developing function to a maximum level.
(7) Guiding patients in their use of
				  therapeutic, creative and self-care activities.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 3 - Skilled Nursing Facilities › Article 4 - Optional Services › Section 72415 - Occupational Therapy Service Unit-Policies and Procedures

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Each occupational therapy service unit
				  shall have written policies and procedures for the management of the
				  occupational therapy service.
(b)
				  The policies and procedures shall be established and implemented by the patient
				  care policy committee in consultation with an occupational therapist.
Note: Authority cited: Sections
						208(a)
						and
						1275,
						Health and Safety Code. Reference: Section
						1276,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 3 - Skilled Nursing Facilities › Article 4 - Optional Services › Section 72417 - Occupational Therapy Service Unit-Staff

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The occupational therapy service unit
				  shall be under the direction of an occupational therapist.
(b) An occupational therapy assistant shall
				  work only under the supervision of an occupational therapist.
(c) There shall be occupational therapists
				  and occupational therapy assistants in the number to meet the identified needs
				  of the patients.
Note: Authority cited: Sections
						208(a)
						and
						1275,
						Health and Safety Code. Reference: Section
						1276,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 3 - Skilled Nursing Facilities › Article 4 - Optional Services › Section 72419 - Occupational Therapy Service Unit-Equipment

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Necessary equipment shall be available to
				  provide the occupational therapy services offered. The equipment shall include
				  but not be limited to:
(1) Supportive slings,
				  supportive and assistive hand splints and the materials from which to fabricate
				  these and other assistive devices.
(2) Adaptive devices to aid in the
				  performance of daily living skills such as eating, dressing, grooming and
				  writing, with instructions for their use.
(3) Equipment and supplies for the
				  development of creative skills.
(4)
				  Means and supplies for adapting equipment for reeducation in activities of
				  daily living.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 3 - Skilled Nursing Facilities › Article 4 - Optional Services › Section 72421 - Occupational Therapy Service Unit-Space

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Space shall be provided for the necessary
				  equipment needed to provide occupational therapy. The minimum floor area shall
				  be 28 square meters (300 square feet), no dimension of which shall be less than
				  3.7 meters (12 feet).
(b) A sink
				  shall be provided in the treatment area and shall have controls not requiring
				  the use of hands.
(c) The toilet
				  facilities shall be located nearby and equipped with grab bars on both sides of
				  the commode, and the space shall be of sufficient size to allow for patient
				  transfer activities.
Note: Authority cited: Sections
						208(a)
						and
						1275,
						Health and Safety Code. Reference: Sections
						1276
						and
						18948,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 3 - Skilled Nursing Facilities › Article 4 - Optional Services › Section 72423 - Speech Pathology and/or Audiology Service Unit-Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) "Speech pathology and/or audiology
				  services" means those services referred or ordered by a licensed healthcare
				  practitioner acting within the scope of his or her professional licensure or
				  certification, for the provision of diagnostic screening and preventive and
				  corrective therapy for persons with speech, hearing and/or language
				  disorders.
(b) Speech pathology
				  and/or audiology service shall include but not be limited to the following:
(1) Conducting and preparing written initial
				  and continuing assessment of a patient.
(2) Notes written and entered in the
				  patient's health record after each treatment. The notes shall indicate the
				  treatment performed, the reaction of the patient to the treatment, and be
				  signed by the speech pathologist or audiologist.
(3) Instruction of other health team
				  personnel and family members in methods of assisting the patient to improve or
				  correct a speech or hearing disorder.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 3 - Skilled Nursing Facilities › Article 4 - Optional Services › Section 72425 - Speech Pathology and/or Audiology Service Unit-Policies and Procedures

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Each speech
				  pathology and/or audiology service unit shall have written policies and
				  procedures for the management of the speech pathology and/or audiology
				  service.
(b) The policies and
				  procedures shall be established and implemented by the patient care policy
				  committee in consultation with a speech pathologist and/or
				  audiologist.
Note: Authority cited: Sections
						208(a)
						and
						1275,
						Health and Safety Code. Reference: Section
						1276,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 3 - Skilled Nursing Facilities › Article 4 - Optional Services › Section 72427 - Speech Pathology and/or Audiology Service Unit-Staff

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Each speech pathology service unit shall
				  employ a speech pathologist for a sufficient number of hours to meet the needs
				  of the patients and requirements of Section
				  72469.
(b) Each audiology service unit shall employ
				  an audiologist for a sufficient number of hours to meet the needs of the
				  patients and requirements of Section
				  72469.
Note: Authority cited: Sections
						208(a)
						and
						1275,
						Health and Safety Code. Reference: Section
						1276,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 3 - Skilled Nursing Facilities › Article 4 - Optional Services › Section 72429 - Speech Pathology and/or Audiology Service Unit-Equipment

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Necessary equipment shall be available to
				  provide the speech pathology and/or audiology services offered. The equipment
				  shall include but not be limited to:
(1) A
				  diagnostic clinical audiometer.
(2)
				  Diagnostic tests and materials.
(3)
				  Other equipment and materials deemed necessary by the speech pathologist and/or
				  audiologist to meet the needs of patients.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 3 - Skilled Nursing Facilities › Article 4 - Optional Services › Section 72431 - Speech Pathology and/or Audiology Service Unit-Space

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Space free of ambient noise shall be provided by the
					 facility to produce valid test results.
Note: Authority cited: Sections
						208(a)
						and
						1275,
						Health and Safety Code. Reference: Section
						1276,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 3 - Skilled Nursing Facilities › Article 4 - Optional Services › Section 72433 - Social Work Service Unit-Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) "Social work services" means those
				  services which assist staff, a patient and a patient's family to understand and
				  cope with a patient's personal, emotional and related health and environmental
				  problems.
(b) Social work services
				  unit shall include but not be limited to the following:
(1) Interview and written assessment of each
				  patient within five days after admission to the service.
(2) Development of a plan, including goals
				  and treatment, for social work services for each patient who needs such
				  services, with participation of the patient, the family, the patient's licensed
				  healthcare practitioner acting within the scope of his or her professional
				  licensure, the director of nursing services and other appropriate
				  staff.
(3) Weekly progress reports
				  in the patient's health record written and signed by the social worker, social
				  work assistant or social work aide.
(4) Participation in regular staff
				  conferences with the attending licensed healthcare practitioner acting within
				  the scope of his or her professional licensure, the director of nursing service
				  and other appropriate personnel.
(5) Discharge planning for each patient and
				  implementation of the plan.
(6)
				  Orientation and in-service education of other staff members on all shifts shall
				  be conducted at least monthly by the social worker in charge of the social work
				  service.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 3 - Skilled Nursing Facilities › Article 4 - Optional Services › Section 72435 - Social Work Service Unit-Policies and Procedures

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Each social work service unit shall have
				  written policies and procedures for the management of the social work
				  service.
(b) The policies and
				  procedures shall be established and implemented by the patientcare policy
				  committee in consultation with a social worker.
Note: Authority cited: Sections
						208(a)
						and
						1275,
						Health and Safety Code. Reference: Section
						1276,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 3 - Skilled Nursing Facilities › Article 4 - Optional Services › Section 72437 - Social Work Service Unit-Staff

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Each social work service unit shall
				  employ a staff for the number of hours to meet the needs of the
				  patients.
(b) The social work
				  service unit shall be organized, directed and supervised by a social worker,
				  who is responsible for supervision of other social work staff, including social
				  work assistants and social work aides.
(c) Social work service staff may include the
				  social work assistant or the social work aide. Assigned functions and tasks
				  shall be supervised by the social worker. Under conditions specified in the
				  written patient care policies, procedures and job descriptions, the social work
				  aide may be under the supervision of the social work assistant.
Note: Authority cited: Sections
						208(a)
						and
						1275,
						Health and Safety Code. Reference: Section
						1276,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 3 - Skilled Nursing Facilities › Article 4 - Optional Services › Section 72439 - Social Work Service Unit - Equipment and Supplies

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Office equipment and supplies necessary
				  for the social work service unit shall be available.
(b) Equipment and supplies shall include but
				  not be limited to:
(1) Literature and
				  references on subjects including psychosocial problems and needs of the patient
				  population in the facility.
(2)
				  Directories, listings and other reference materials on available community
				  resources.
(3) Necessary clerical
				  equipment and supplies.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 3 - Skilled Nursing Facilities › Article 4 - Optional Services › Section 72441 - Social Work Service Unit-Space

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
Accessible space shall be provided for privacy in
					 interviewing, telephoning, conferences and for operation of the
					 unit.
Note: Authority cited: Sections
						208(a)
						and
						1275,
						Health and Safety Code. Reference: Section
						1276,
						Health and Safety Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 3 - Skilled Nursing Facilities › Article 4 - Optional Services › Section 72443 - Special Treatment Program Service Unit-General

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) Special treatment programs shall provide
				  programs to serve patients who have a chronic psychiatric impairment and whose
				  adaptive functioning is moderately impaired. Special treatment program services
				  are those therapeutic services, including prevocational preparation and
				  prerelease planning, provided to mentally disordered persons having special
				  needs in one or more of the following general areas: self-help skills, behavior
				  adjustment, interpersonal relationships.
(b) To be eligible for special treatment
				  program services, the patient's condition should be responsive to special
				  treatment program services and prohibitive to placement in a skilled nursing
				  facility.
(c) The facility shall
				  not accept for care any mentally disordered patient who has an identified
				  program need unless the Department of Health Care Services has approved the
				  facility's specific special treatment plan.
1. Change
					 without regulatory effect amending subsection (c) and NOTE filed 6-10-2015
					 pursuant to section
					 100, title 1, California Code of
					 Regulations (Register
					 2015,
					 No. 24).
2. Governor Newsom issued Executive Order N-55-20 (2019 CA
					 EO 55-20), dated April 22, 2020, which suspended certain provisions related to
					 the operation of treatment and rehabilitation facilities that could restrict
					 staffing flexibility, due to the COVID-19
					 pandemic.
Note: Authority cited: Sections
						20,
						208(a)
						and
						1275,
						Health and Safety Code; and Sections
						10725,
						14124.5
						and
						14700,
						Welfare and Institutions Code. Reference: Section
						1276,
						Health and Safety Code; and Sections
						5909
						and
						14700,
						Welfare and Institutions Code.
California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 3 - Skilled Nursing Facilities › Article 4 - Optional Services › Section 72445 - Special Treatment Program Service Unit-Services

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) The program objective shall be to provide
				  a program aimed at improving the adaptive functioning of chronic mentally
				  disordered patients to enable some patients to move into a less restrictive
				  environment and prevent other patients from regressing to a lower level of
				  functioning.
(b) The facility shall
				  have the capability of providing all of the following special rehabilitation
				  program services. Individual programs shall be provided based on the specific
				  needs identified through patient assessments.
(1) Self-Help Skills Training. This shall
				  include but not be limited to:
(A) Personal
				  care and use of medications
(B)
				  Money management
(C) Use of public
				  transportation
(D) Use of community
				  resources
(E) Behavior control and
				  impulse control
(F) Frustration
				  tolerance
(G) Mental health
				  education
(H) Physical
				  fitness