reglab/statecodes huggingface dataset:
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 3 - MINIMUM STANDARDS FOR PEDIATRIC SKILLED NURSING FACILITIES › Subchapter 6 - Child/Parent's Rights › Rule 15-16-1-3.6.5

Current through June 25, 2024
Each child shall be free from mental and physical abuse
						and also physical and chemical restraints, unless authorized by a physician
						according to clear and indicated medical requirements. Justification for use,
						shall include but not be limited to, the risks verses benefits for use and
						shall be documented by the physician and maintained as part of the child's
						medical record.
Mississippi Code
						Annotated §
												43-13-117
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 3 - MINIMUM STANDARDS FOR PEDIATRIC SKILLED NURSING FACILITIES › Subchapter 6 - Child/Parent's Rights › Rule 15-16-1-3.6.6

Current through June 25, 2024
Each parent and/or legal guardian has a right,
						personally or through others, to present grievances to state and local
						authorities without reprisal, interference, coercion or discrimination of the
						child as a result of the grievance or suggestion.
Mississippi Code
						Annotated §
												43-13-117
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 3 - MINIMUM STANDARDS FOR PEDIATRIC SKILLED NURSING FACILITIES › Subchapter 7 - Admission Procedures › Rule 15-16-1-3.7.1 - Admission Procedures

Current through June 25, 2024
Each Pediatric Skilled Nursing Facility shall have
						policies and procedures governing the admission, transfer, and discharge of
						children. The admission of each child into the Pediatric Nursing Facility shall
						be upon the written orders of the physician and shall be under the supervision
						of the facility administrator or his/her designee, and shall be in accordance
						with the facility's childcare policies and procedures.
1. Aging-in-Place- Considering the fact that
					 an individual was admitted to a Pediatric Skilled Nursing Facility prior to
					 his/her twenty-first (21) birth date, the facility may allow the individual to
					 age-in-place past the twenty-first birth date, provided:
a. The facility may allow aging-in-place for
					 established residents, not to exceed 15% of the facility's licensed
					 capacity.
b. The individual
					 continues to be ventilator or otherwise medically dependent; thus, requiring
					 the services of the Pediatric Skilled Nursing Facility.
c. The facility is able to provide the needed
					 medical, psychological, and safety needs of the resident; and
d. The resident does not present a threat for
					 harm to himself or other children of the facility.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 3 - MINIMUM STANDARDS FOR PEDIATRIC SKILLED NURSING FACILITIES › Subchapter 7 - Admission Procedures › Rule 15-16-1-3.7.2 - Justification for Aging-in-Place

Current through June 25, 2024
Should a facility choose to maintain a resident past the
						twenty-first birth date, the facility must submit a written justification,
						requesting approval, to the licensing agency. The written justification must be
						completed and signed by the Medical Director of the facility and must contain
						documentation reflective that the resident continues to meet the medical
						necessity requirements for such facility, that the facility can continue to
						meet the resident's needs, as outlined above, and that the resident is not a
						danger to him/her self or others.
Mississippi Code
						Annotated §
												43-13-117
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 3 - MINIMUM STANDARDS FOR PEDIATRIC SKILLED NURSING FACILITIES › Subchapter 7 - Admission Procedures › Rule 15-16-1-3.7.3 - Hours of Service

Current through June 25, 2024
The hours of operation of a Pediatric Skilled Nursing
						Facility shall be 24/7 and must be clearly posted.
Mississippi Code
						Annotated §
												43-13-117
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 3 - MINIMUM STANDARDS FOR PEDIATRIC SKILLED NURSING FACILITIES › Subchapter 7 - Admission Procedures › Rule 15-16-1-3.7.4 - Criteria for Admission

Current through June 25, 2024
Infants and children considered for admission to the
						Pediatric Skilled Nursing Facility shall be:
1. A child who is less than twenty-one years
					 of age and medically or technologically dependent to include, but not be
					 limited to, conditions such seizure disorder, chronic lung disorder,
					 malignancy, and heart disease and/or complex medical problems requiring
					 continual care, including but not limited to, ventilator dependence,
					 supplemental oxygen, I.V therapy, nasogastric or gastrostomy feedings,
					 tracheotomy, etc.
2. Each child
					 admitted to the Pediatric Skilled Nursing Facility shall be admitted under the
					 prescription of the licensed prescribing physician and shall remain under the
					 care of the primary care or subspecialist physician for the duration of his/her
					 stay at the facility. Each child placed in the Pediatric Skilled Nursing
					 Facility shall have documentation of the physician's written order placed in
					 the child's medical record. A copy of the order shall be provided to the
					 child's parent(s) or guardian(s).
3. Infants and children considered for
					 admission to the Pediatric Skilled Nursing Facility shall be stable for
					 outpatient medical services and shall not, prior to admission, present a
					 significant risk of infection to the other children or personnel. The medical
					 and nursing directors shall review, on a case-by-case basis, any child with a
					 suspected infection to determine appropriateness of admission.
Mississippi Code
						Annotated §
												43-13-117
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 3 - MINIMUM STANDARDS FOR PEDIATRIC SKILLED NURSING FACILITIES › Subchapter 7 - Admission Procedures › Rule 15-16-1-3.7.5 - Consents

Current through June 25, 2024
A consent form outlining the purpose of a Pediatric
						Skilled Nursing Facility, family responsibilities, authorized treatments and
						appropriate liability release and emergency disposition plans shall be signed
						by the parent(s) and/or guardian(s) prior to admission to the Pediatric Skilled
						Nursing Facility. The parents and guardians shall be provided a copy of the
						consent form.
Confidentiality of Pediatric Skilled Nursing Facility's
						records shall be maintained in accordance with HIPPA requirements.
Mississippi Code
						Annotated §
												43-13-117
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 3 - MINIMUM STANDARDS FOR PEDIATRIC SKILLED NURSING FACILITIES › Subchapter 7 - Admission Procedures › Rule 15-16-1-3.7.6 - Protocol of Care

Current through June 25, 2024
The protocol for care shall be developed under the
						direction of the Pediatric Skilled Nursing Facility nursing director and shall
						specify the treatment plan needed to accommodate the medical, nursing,
						psychosocial and educational needs of the child and family. Specific goals for
						care shall be identified. Plans for achieving the goals shall be determined and
						a schedule for evaluation of progress shall be established. When appropriate,
						the protocol shall include specific discharge criteria.
Mississippi Code
						Annotated §
												43-13-117
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 3 - MINIMUM STANDARDS FOR PEDIATRIC SKILLED NURSING FACILITIES › Subchapter 7 - Admission Procedures › Rule 15-16-1-3.7.7 - Protocol Authorization

Current through June 25, 2024
The protocol must be signed by the physician, the
						authorized representative(s) of the Pediatric Skilled Nursing Facility and the
						parent(s) or guardian(s) of the child within ten (10) days of initiation of the
						plan. Copies of the protocol shall be given to the parent(s), guardian(s) of
						the child, the child's primary physician, Pediatric Skilled Nursing Facility
						staff, and other agencies as appropriate.
Mississippi Code
						Annotated §
												43-13-117
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 3 - MINIMUM STANDARDS FOR PEDIATRIC SKILLED NURSING FACILITIES › Subchapter 7 - Admission Procedures › Rule 15-16-1-3.7.8 - Routine Communications

Current through June 25, 2024
Communication with the child's primary physician shall
						be provided by the nursing director or designee on a monthly or quarterly
						basis, as identified in the plan or at a minimum when there is a change in the
						child's clinical condition.
Mississippi Code
						Annotated §
												43-13-117
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 3 - MINIMUM STANDARDS FOR PEDIATRIC SKILLED NURSING FACILITIES › Subchapter 7 - Admission Procedures › Rule 15-16-1-3.7.9 - Therapies

Current through June 25, 2024
Prescribed therapies may be adjusted, in consultation
						with the child's primary care or subspecialist physician, to accommodate the
						child's condition.
Mississippi Code
						Annotated §
												43-13-117
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 3 - MINIMUM STANDARDS FOR PEDIATRIC SKILLED NURSING FACILITIES › Subchapter 7 - Admission Procedures › Rule 15-16-1-3.7.10 - Pre-admission Planning

Current through June 25, 2024
If a child is hospitalized at the time of referral, pre-
						admission planning will include the parents and guardians, relevant hospital
						medical, nursing, social services and developmental staff to assure that the
						hospital's discharge plans will be implemented following placement in the
						Pediatric Skilled Nursing Facility.
Mississippi Code
						Annotated §
												43-13-117
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 3 - MINIMUM STANDARDS FOR PEDIATRIC SKILLED NURSING FACILITIES › Subchapter 8 - Medical Director › Rule 15-16-1-3.8.1 - Qualifications of a Medical Director

Current through June 25, 2024
A physician licensed in accordance with the requirements
						of the Mississippi Board of Medical Licensure, and certified by the American
						Board of Pediatrics or the American Osteopathic Board of Pediatrics shall serve
						as Medical Director of the Pediatric Skilled Nursing Facility.
Mississippi Code
						Annotated §
												43-13-117
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 3 - MINIMUM STANDARDS FOR PEDIATRIC SKILLED NURSING FACILITIES › Subchapter 8 - Medical Director › Rule 15-16-1-3.8.2 - Responsibilities of the Medical Director

Current through June 25, 2024
Responsibilities of the Medical Director shall be:
1. Periodic review of services to
					 assure acceptable levels of quality;
2. Maintenance of a liaison role with the
					 medical community;
3. Advisement
					 of the development of new programs and modifications of existing programs;
4. Assurance that medical
					 consultation will be available in the Medical Director's absence;
5. Serving on committees as defined and
					 required by these rules and by the facility's policies;
6. Consultation with the center administrator
					 on the health status of the facility's personnel;
7. Reviewing reports of all accidents and
					 unusual incidents, to but not be limited to, medication errors, and identifying
					 to the facility administrator hazards to health and safety; and
8. Ensuring the development of policies and
					 procedures for the delivery of emergency services and the delivery of regular
					 physician services when the child's attending physician, or his designated
					 alternate is not available.
Mississippi Code
						Annotated §
												43-13-117
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 3 - MINIMUM STANDARDS FOR PEDIATRIC SKILLED NURSING FACILITIES › Subchapter 9 - Nursing Services › Rule 15-16-1-3.9.1 - Qualification of the Director of Nursing

Current through June 25, 2024
A registered nurse shall serve full - time as the
						Director of Nursing. The Director of Nursing must have, at a minimum, the
						following qualifications:
1. Minimum
					 of a baccalaureate degree in nursing;
2. Current unrestricted Mississippi nursing
					 license;
3. Current certification
					 in Cardio Pulmonary Resuscitation (CPR) or Basic Cardiac Life Support (BCLS);
					 and
4. Current certification in
					 Pediatric Advanced Life Support (PALS)
5. A minimum of five years of employment in a
					 pediatric setting caring for medically and/or technologically dependent
					 children or at least three years of experience in one of the following
					 specialty settings: pediatric intensive care, neonatal intensive care,
					 pediatric emergency care, Pediatric Skilled Nursing Facility or comparable
					 pediatric unit.
Mississippi Code
						Annotated §
												43-13-117
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 3 - MINIMUM STANDARDS FOR PEDIATRIC SKILLED NURSING FACILITIES › Subchapter 9 - Nursing Services › Rule 15-16-1-3.9.2 - Responsibilities

Current through June 25, 2024
The Director of Nursing Services shall be responsible
						for the day-to-day operations of the Pediatric Skilled Nursing Facility, to
						include but not be limited to, the development of and implementation of
						policies and procedures to facilitate effective and safe care and treatment
						modalities, scheduling of staff, coordination of employee and contracted
						specialized services in accordance with each child's individualized plan of
						care, participating in pre-admission screening along with other appropriate
						nursing staff, participating on the interdisciplinary team (IDT) in the
						development of each child's plan care, evaluation of all nursing services
						provided to each child; assuring that training and inservices are provided
						consistent with the treatments/care being provided and the identified
						weaknesses and/or needs of the employee.
Mississippi Code
						Annotated §
												43-13-117
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 3 - MINIMUM STANDARDS FOR PEDIATRIC SKILLED NURSING FACILITIES › Subchapter 9 - Nursing Services › Rule 15-16-1-3.9.3 - Registered Nurse Qualifications

Current through June 25, 2024
Each registered nurse employed by the Pediatric Skilled
						Nursing Facility shall have a current unencumbered Mississippi nursing license,
						have at least two years of pediatric specialty care experience with emphasis on
						medically and technologically dependent children and maintain current
						certification in pediatric CPR, pediatric advance life support (PALS) and basic
						first aid.
Mississippi Code
						Annotated §
												43-13-117
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 3 - MINIMUM STANDARDS FOR PEDIATRIC SKILLED NURSING FACILITIES › Subchapter 9 - Nursing Services › Rule 15-16-1-3.9.4 - Registered Nurse Responsibilities

Current through June 25, 2024
The registered nurse shall be responsible for at least
						the following:
1. The provision of
					 nursing intervention; educational services to increase the family's confidence
					 and competence in caring for the child with special needs; assistance to
					 facilitate coping with the effects of chronic illness on the child and family
					 and support effective relationships among siblings and the ill child;
					 interventions to foster normal development and psychosocial adaptation;
2. Knowledge of the availability
					 and access requirements to community resources;
3. Participation in the interdisciplinary
					 teams (IDT), as necessary and in the interdisciplinary staff meetings regarding
					 the child's progress. Fostering and maintaining collaborative relationship with
					 the interdisciplinary teams;
4.
					 The administration of medication, intravenous infusions, parenteral feedings
					 and other specialized treatments; monitoring and documenting the effects of
					 medications, therapies and progress in accordance with accepted standards of
					 practice; and
5. Knowledge of the
					 competence and scope of practice of other licensed and unlicensed personnel and
					 delegation of duties to such personnel within that level of competence and
					 scope of practice.
Mississippi Code
						Annotated §
												43-13-117
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 3 - MINIMUM STANDARDS FOR PEDIATRIC SKILLED NURSING FACILITIES › Subchapter 9 - Nursing Services › Rule 15-16-1-3.9.5 - Qualifications of Licensed Practical Nurse

Current through June 25, 2024
Each licensed practical nurse employed by the Pediatric
						Skilled Nursing Facility shall have a current unencumbered Mississippi nursing
						license, have at least two years of pediatric specialty care experience with
						emphasis on medically and technologically dependent children and current
						certification in pediatric CPR and basic first aid.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 3 - MINIMUM STANDARDS FOR PEDIATRIC SKILLED NURSING FACILITIES › Subchapter 9 - Nursing Services › Rule 15-16-1-3.9.6 - Licensed Practical Nurse Responsibilities

Current through June 25, 2024
The licensed practical nurse shall work under the
						supervision of the registered nurse and is responsible to provide, within their
						level of competence and scope of practice, direct care to the Pediatric Skilled
						Nursing Facility children.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 3 - MINIMUM STANDARDS FOR PEDIATRIC SKILLED NURSING FACILITIES › Subchapter 9 - Nursing Services › Rule 15-16-1-3.9.7 - Qualifications of Direct Care Staff

Current through June 25, 2024
Direct care staff shall work under the supervision of
						the licensed nurse. If direct care staff are utilized to augment licensed nurse
						staffing, the direct care staff shall have a minimum of the following
						qualifications:
1. Two years of
					 experience in a healthcare setting providing care to infants and children who
					 are medically or technologically dependent;
2. References documenting skill in the care
					 of infants and children; and
3.
					 Current certification in pediatric CPR and basic first aid.
Mississippi Code
						Annotated §
												43-13-117
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 3 - MINIMUM STANDARDS FOR PEDIATRIC SKILLED NURSING FACILITIES › Subchapter 10 - Staffing › Rule 15-16-1-3.10.1 - Ratio

Current through June 25, 2024
Total staffing for nursing services shall be, at a
						minimum, in the following ratios but at no time shall there be less than one
						(1) staff member of duty per three (3) children. If only one (1) staff member
						is on duty, that member must be a registered nurse.
Children
Total Staff
RN
RN or LPN
Direct Care, or Licensed Nurse (RN, LPN or
								  Respiratory Therapist)
1
1
1
2-6
2
1
1
1
7-9
3
1
1
1
10-12
4
2
1
1
13-15
5
3
1
1
16-18
6
3
1
2
19-21
7
4
1
2
22-24
8
4
1
3
25-27
9
4
1
4
28-30
11
5
1
5
31-33
12
5
1
6
34 -36
13
5
2
6
37- 39
14
5
3
6
40-42
15
5
3
7
43- 45
16
5
4
7
Mississippi Code
						Annotated §
												43-13-117
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 3 - MINIMUM STANDARDS FOR PEDIATRIC SKILLED NURSING FACILITIES › Subchapter 10 - Staffing › Rule 15-16-1-3.10.2

Current through June 25, 2024
If a Pediatric Skilled Nursing Facility has more than 45
						children, the staffing must increase by one staff for every three (3) children,
						alternating between a direct care staff and licensed nurse.
Mississippi Code
						Annotated §
												43-13-117
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 3 - MINIMUM STANDARDS FOR PEDIATRIC SKILLED NURSING FACILITIES › Subchapter 10 - Staffing › Rule 15-16-1-3.10.3 - Ancillary Professional Staffing

Current through June 25, 2024
Although the Pediatric Skilled Nursing Facility is not
						required to have the following disciplines on staff, such services may be
						contractual, on a consultant basis, depending on the assessed need of the
						child.
1. Resource consultants:
a. A child development specialist available
					 to serve as a resource for Pediatric Skilled Nursing Facility staff and parents
					 of children served who can be available to evaluate through use of standardized
					 and non-standardized procedures the developmental status of children;
b. A child life specialist who can
					 assist in planning and conducting individualized child development and play
					 programs; and who can serve as a resource to the Pediatric Skilled Nursing
					 Facility staff and parents of children being served.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 3 - MINIMUM STANDARDS FOR PEDIATRIC SKILLED NURSING FACILITIES › Subchapter 10 - Staffing › Rule 15-16-1-3.10.4

Current through June 25, 2024
The Pediatric Skilled Nursing Facility shall have the
						following staff, either by employment or on a contractual as needed
						basis:
1. Occupational therapy is the
					 provision of services that addresses the developmental or functional needs of a
					 child related to the performance of self-help adaptive skills, adaptive
					 behaviors, and sensory, motor and postural development. Occupational therapy
					 includes the evaluation and treatment to prevent or correct physical and
					 emotional deficits, minimize the disabling effects of these deficits, maintain
					 a level of function, acquire a skill set or A child life specialist who shall
					 be responsible for at least the following:
a.
					 Evaluation of child following physician referral to include neuromuscular
					 status, developmental level, perceptual motor functioning, need for adaptive
					 equipment or appliances, self-care and play;
b. Designing and implementing therapeutic
					 programs to meet the needs of the individual child;
c. Maintaining records documenting the
					 therapy program and progress for each child as approved by the attending
					 physician; and
d. Participating as
					 part of the child's IDT team if occupational therapies are a part of the
					 child's plan and serving as a resource for Pediatric Skilled Nursing Facility
					 staff and the parents being served.
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 3 - MINIMUM STANDARDS FOR PEDIATRIC SKILLED NURSING FACILITIES › Subchapter 11 - Developmental Services › Rule 15-16-1-3.11.1 - Assessment and Plan

Current through June 25, 2024
Each child shall have a functional assessment and an
						individualized family service plan (IFSP) to include developmentally
						appropriate areas.
Mississippi Code
						Annotated §
												43-13-117
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 3 - MINIMUM STANDARDS FOR PEDIATRIC SKILLED NURSING FACILITIES › Subchapter 11 - Developmental Services › Rule 15-16-1-3.11.2 - Developmental Plan

Current through June 25, 2024
The child's IFSP plan shall include specific programs and
						action steps to facilitate developmental progress and shall be reviewed and
						updated per early intervention/early step guidelines.
Mississippi Code
						Annotated §
												43-13-117
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 3 - MINIMUM STANDARDS FOR PEDIATRIC SKILLED NURSING FACILITIES › Subchapter 11 - Developmental Services › Rule 15-16-1-3.11.3 - Incorporation of Plan

Current through June 25, 2024
Developmental and educational needs shall be
						incorporated into each child's protocol for care.
Mississippi Code
						Annotated §
												43-13-117
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 3 - MINIMUM STANDARDS FOR PEDIATRIC SKILLED NURSING FACILITIES › Subchapter 11 - Developmental Services › Rule 15-16-1-3.11.4 - Comprehensive Developmental Program

Current through June 25, 2024
The Pediatric Skilled Nursing Facility shall provide
						evidence of a good-faith effort in assuring the development of a comprehensive
						developmental program for each child birth to 3 years old to meet the
						identified developmental needs of the child. The Pediatric Skilled Nursing
						Facility may enter into a contractual relation with the local early
						intervention provider/early steps to assure that these services are met and
						provided accordingly. The child's IFSP plan shall include:
1. Measurable goals in need areas and/or
					 goals to enhance and normalize independent functioning in daily activities and
					 to promote socialization in order to minimize difficulties in being assimilated
					 into the home/community environment;
2. A description of the child's strengths and
					 present performance level with respect to each goal;
3. Skills areas in priority order;
4. Anticipatory planning for specific areas
					 identified at risk for problems even though a specific delay or problem may not
					 be demonstrable.
Mississippi Code
						Annotated §
												43-13-117
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 3 - MINIMUM STANDARDS FOR PEDIATRIC SKILLED NURSING FACILITIES › Subchapter 11 - Developmental Services › Rule 15-16-1-3.11.5 - Scheduled Meetings

Current through June 25, 2024
The developmentalist and/or child life specialist shall
						participate in regularly scheduled interdisciplinary staff meetings as needed.
Mississippi Code
						Annotated §
												43-13-117
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 3 - MINIMUM STANDARDS FOR PEDIATRIC SKILLED NURSING FACILITIES › Subchapter 11 - Developmental Services › Rule 15-16-1-3.11.6 - Involvement of Parent and/or Guardian

Current through June 25, 2024
A program for parent(s) and/or guardian(s) shall be
						provided to prepare parent(s) or guardian(s) to accommodate the child's needs
						as needed.
Mississippi Code
						Annotated §
												43-13-117
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 3 - MINIMUM STANDARDS FOR PEDIATRIC SKILLED NURSING FACILITIES › Subchapter 11 - Developmental Services › Rule 15-16-1-3.11.7 - Parent/Guardian Education

Current through June 25, 2024
The Pediatric Skilled Nursing Facility shall assist
						parent(s) and guardian(s) by including them in care-related conferences and
						teaching them how to perform necessary therapies and how to meet the
						developmental and psychosocial needs of the child at home.
Mississippi Code
						Annotated §
												43-13-117
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 3 - MINIMUM STANDARDS FOR PEDIATRIC SKILLED NURSING FACILITIES › Subchapter 11 - Developmental Services › Rule 15-16-1-3.11.8 - Referrals

Current through June 25, 2024
Pediatric Skilled Nursing Facility staff shall make
						referrals to appropriate resources, facilitate access to community, social,
						educational and financial services, and shall provide assistance to enhance
						coping skills, interpersonal; relationships and family functioning.
Mississippi Code
						Annotated §
												43-13-117
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 3 - MINIMUM STANDARDS FOR PEDIATRIC SKILLED NURSING FACILITIES › Subchapter 12 - Educational Services › Rule 15-16-1-3.12.1 - Comprehensive Educational Program

Current through June 25, 2024
The Pediatric Skilled Nursing Facility shall provide
						evidence of a good-faith effort in assuring the development of a comprehensive
						educational program for each school-aged child to meet the identified
						educational needs of the child. The Pediatric Skilled Nursing Facility may
						enter into a contractual relationship with the local school system to assure
						that these services are met and provided accordingly.
Mississippi Code
						Annotated §
												43-13-117
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 3 - MINIMUM STANDARDS FOR PEDIATRIC SKILLED NURSING FACILITIES › Subchapter 12 - Educational Services › Rule 15-16-1-3.12.2 - Comprehensive Educational IEP Plan

Current through June 25, 2024
Each child, after being determined appropriate for
						educational services based on a comprehensive assessment, shall have a
						comprehensive individualized educational plan (IEP). Such plan shall be based
						upon the assessed needs of the child and shall be developed in coordination
						with Pediatric Skilled Nursing Facility staff. If a child is on an IEP, the
						educational teacher /instructor shall participate in the child's overall IEP
						and review.
Mississippi Code
						Annotated §
												43-13-117
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 3 - MINIMUM STANDARDS FOR PEDIATRIC SKILLED NURSING FACILITIES › Subchapter 12 - Educational Services › Rule 15-16-1-3.12.3 - Space/Supplies for Educational Needs

Current through June 25, 2024
The Pediatric Skilled Nursing Facility shall provide a
						dedicated room, space or adequate workspace, well lighted and equipped with
						general supplies such as tables, desks, chalkboard/whiteboard, etc. to be
						conducive to such specialized educational learning. The Pediatric Skilled
						Nursing Facility may request parent or the local school system participation in
						the purchase of books, routine schools supplies, etc., necessary for their
						child's day-to-day school activities.
Mississippi Code
						Annotated §
												43-13-117
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 3 - MINIMUM STANDARDS FOR PEDIATRIC SKILLED NURSING FACILITIES › Subchapter 12 - Educational Services › Rule 15-16-1-3.12.4 - Education Incorporated into Child's Overall IED Plan

Current through June 25, 2024
For children needing or receiving educational
						instruction, the educational instructor/teacher shall participate as part of
						the interdisciplinary team to assure coordination of the child's care and
						services with the scheduled educational component of activities. The Pediatric
						Skilled Nursing Facility will provide an area to post the calendar and school
						related information bulletins. The instructor shall document in the child's
						school record the progress of the child. A duplicate copy shall be maintained
						on the Pediatric Skilled Nursing Facility premises.
Mississippi Code
						Annotated §
												43-13-117
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 3 - MINIMUM STANDARDS FOR PEDIATRIC SKILLED NURSING FACILITIES › Subchapter 13 - Nutrition Services › Rule 15-16-1-3.13.1 - Nutritional Services

Current through June 25, 2024
A registered dietician shall be available, either full
						time, part time or on a consultant basis, to evaluate the child's nutritional
						needs and to assure that meal planning and dietary services are provided so as
						to meet the nutritional and dietary needs of each child.
Mississippi Code
						Annotated §
												43-13-117
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 3 - MINIMUM STANDARDS FOR PEDIATRIC SKILLED NURSING FACILITIES › Subchapter 13 - Nutrition Services › Rule 15-16-1-3.13.2 - Food Service on Location

Current through June 25, 2024
If the Pediatric Skilled Nursing Facility serves food to
						the children:
a) A Certified Food
					 Service Manager who works under the consulting Registered Dietitian shall be
					 available and responsible for overseeing dietary services.
b) Menus shall be nutritionally adequate and
					 consistent with the Dietary Guidelines for Americans. Foods shall be provided
					 in quantities and meal patterns that balance energy and nutrients with the
					 children's ages, appetites, activity levels, special needs, and cultural and
					 ethnic differences in food habits. All physician-prescribed meals, snacks,
					 special diets and dietary supplements shall meet the daily nutritional
					 requirements of the child as ordered. Substitution of foods/snacks, of the same
					 nutritional value, shall be made available should a child dislike or refuse a
					 food item.
c) Parents, when
					 possible, shall be involved in the nutritional components of their child's
					 meal. Menus must be prepared for a minimum of one week in advance and shall be
					 posted so that parents/child is aware of foods/snacks served. Food items,
					 texture and consistency should be age and/or needs appropriate. Substitutions
					 shall be offered if a child has a dislike of foods prepared. Menus shall be
					 maintained on-site for a period of one (1) year.
Mississippi Code
						Annotated §
												43-13-117
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 3 - MINIMUM STANDARDS FOR PEDIATRIC SKILLED NURSING FACILITIES › Subchapter 13 - Nutrition Services › Rule 15-16-1-3.13.3 - Documentation of Allergies

Current through June 25, 2024
If a child has a specific allergy to foods or is on a
						special diet, Pediatric Skilled Nursing Facility staff shall be notified, and
						such allergies notated as part of the child's medical record.
Mississippi Code
						Annotated §
												43-13-117
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 3 - MINIMUM STANDARDS FOR PEDIATRIC SKILLED NURSING FACILITIES › Subchapter 13 - Nutrition Services › Rule 15-16-1-3.13.4 - Timing of Meals

Current through June 25, 2024
For infants and toddlers, feedings and/or meals shall be
						in accordance with physician's orders and/or the routine of the child (if
						orders related to timing are not available). At a minimum, for each
						twenty-four-hour day, three meals and three snacks must be offered.
Mississippi Code
						Annotated §
												43-13-117
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 3 - MINIMUM STANDARDS FOR PEDIATRIC SKILLED NURSING FACILITIES › Subchapter 13 - Nutrition Services › Rule 15-16-1-3.13.5 - Furniture/Utensils

Current through June 25, 2024
Furniture and Utensils shall be age-appropriate and
						developmentally suitable to encourage children to accept and enjoy mealtime.
Mississippi Code
						Annotated §
												43-13-117
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 3 - MINIMUM STANDARDS FOR PEDIATRIC SKILLED NURSING FACILITIES › Subchapter 13 - Nutrition Services › Rule 15-16-1-3.13.6 - Dining Experience

Current through June 25, 2024
The facility shall design the dining area so as to
						create a home-like environment for dining. Caregivers shall encourage positive
						experiences with food and eating. Caregivers are encouraged to eat with the
						children; however, shall not eat foods outside of the foods served in the
						facility in front of the children.
Mississippi Code
						Annotated §
												43-13-117
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 3 - MINIMUM STANDARDS FOR PEDIATRIC SKILLED NURSING FACILITIES › Subchapter 13 - Nutrition Services › Rule 15-16-1-3.13.7 - Refrigerated Individual Foods

Current through June 25, 2024
Prepared foods shall be kept under refrigeration with
						identifying dates and the child's name.
Mississippi Code
						Annotated §
												43-13-117
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 3 - MINIMUM STANDARDS FOR PEDIATRIC SKILLED NURSING FACILITIES › Subchapter 14 - Transportation Services › Rule 15-16-1-3.14.1 - Transportation Services

Current through June 25, 2024
If transportation services are provided by a Pediatric
						Skilled Nursing Facility and prescribed by the primary care or subspecialist
						physician, a procedure delineating personnel and equipment to accompany the
						child shall be included in the Pediatric Skilled Nursing Facility procedure
						manual. The Pediatric Skilled Nursing Facility policy and procedure shall
						clearly state, regardless of the transportation provision, if the child is to
						be under the care of the Pediatric Skilled Nursing Facility, the Pediatric
						Skilled Nursing Facility is responsible for the safety of the children.
Mississippi Code
						Annotated §
												43-13-117
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 3 - MINIMUM STANDARDS FOR PEDIATRIC SKILLED NURSING FACILITIES › Subchapter 14 - Transportation Services › Rule 15-16-1-3.14.2 - Restraint During Transport

Current through June 25, 2024
All children shall be properly restrained whenever they
						are being transported in a motor vehicle.
1. Every person transporting a child under
					 the age of four (4) in a passenger motor vehicle and operated on a public
					 roadway, street or highway, shall provide for the protection of the child by
					 properly using a child passenger restraint device or system meeting applicable
					 federal motor vehicle safety standards, i.e., child safety seat.
2. Every person transporting a child in a
					 passenger motor vehicle operated on a public roadway, street or highway, shall
					 provide for the protection of the child by using a belt positioned booster seat
					 system meeting applicable federal motor vehicle safety standards if the child
					 is at least four (4) years of age, but less than seven (7) years of age and
					 measures less than four (4) feet nine (9) inches in height or weighs less than
					 sixty-five pounds.
3. An
					 individual seat restraint must be used for each child, regardless of age,
					 height or weight and appropriate for the child's condition. The use of an
					 individual seat restraint for two or more children is not allowed.
Mississippi Code
						Annotated §
												43-13-117
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 3 - MINIMUM STANDARDS FOR PEDIATRIC SKILLED NURSING FACILITIES › Subchapter 14 - Transportation Services › Rule 15-16-1-3.14.3 - Contract Transportation

Current through June 25, 2024
Should the Pediatric Skilled Nursing Facility provide or
						contract for transportation, it is incumbent upon the center to assure that:
1. All drivers are appropriately
					 licensed;
2. All vehicles used for
					 the transportation of the Pediatric Skilled Nursing Facility children have
					 current safety inspection stickers, licenses (vehicle tag) and registration;
3. Insurance adequately covers the
					 transportation of children;
4. A
					 daily sign-in sheet or log is maintained of the children being transported and
					 include the to/from location;
5. A
					 trained medical escort will accompany all children during transport. An
					 additional medical escort shall be required for every six children. The driver
					 of the bus/vehicle cannot serve as a medical escort;
6. Children board and leave from the curbside
					 of the street and/or safely accompanied to the destinations;
7. Upon arrival via transportation to the
					 child's final destination care of child is relinquished to either a
					 parent/guardian or designated caregiver as authorized by the parent or
					 guardian.
Mississippi Code
						Annotated §
												43-13-117
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 3 - MINIMUM STANDARDS FOR PEDIATRIC SKILLED NURSING FACILITIES › Subchapter 15 - Inservice Training for Staff and Parents and Guardians › Rule 15-16-1-3.15.1 - Inservice Training

Current through June 25, 2024
Each Pediatric Skilled Nursing Facility shall develop
						staff and parent/guardian orientation and training programs. These programs
						include but are limited to the following:
1. Quarterly staff development / inservice
					 programs appropriate to the category of personnel will be conducted to maintain
					 quality patient care; All staff development programs will be documented; to
					 include date/time, trainer, listing of attendees and a summary of the program
					 content/training. This documentation shall be maintained for a period of three
					 years, unless pertinent to a specific child's care; then reference to the
					 training shall be maintained as part of the child's record as long as the child
					 receives the service of the facility.
2. Annual pediatric cardiopulmonary
					 resuscitation review and update;
3. New hire orientation to acquaint the
					 employee with the philosophy, organization, program, practices and goals of the
					 Pediatric Skilled Nursing Facility;
4. Parent orientation to acquaint the
					 parent/guardian to the Pediatric Skilled Nursing Facility, including philosophy
					 of the center, goals, expectations, not only of staff/caregivers but also of
					 parents (such as expectation that parent and/or guardian participate in the
					 IEP) and services that can be offered and/or expected;
5. Parent/guardian trainings shall be
					 documented in the child's medical record.
Mississippi Code
						Annotated §
												43-13-117
Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 3 - MINIMUM STANDARDS FOR PEDIATRIC SKILLED NURSING FACILITIES › Subchapter 16 - Medical Record › Rule 15-16-1-3.16.1 - Medical Records

Current through June 25, 2024
A medical record shall be maintained for each child. The
						medical record shall contain at least the following:
1. All details of the referral, admission,
					 correspondence and papers concerning the child;
2. Entries in the medical record shall be in
					 ink, shall be signed by the authorized personnel, to include name and
					 title/discipline, and shall include at least the following:
a. Physician's orders;
b. Flow charts of medications and treatments
					 administered;
c. Concise accurate
					 information and initialed case notes reflecting progress toward protocol of
					 care goals achievement or reasons for lack of progress;
d. Documentation of nutritional management
					 and special diets, as appropriate;
e. Documentation of nursing, physical,
					 occupational, speech, respiratory and social service assessments, goals,
					 treatment plans, documentation of each treatment, to include date, time and
					 therapy/treatments provided and progress of the child;
f. An individualized protocol of care
					 developed within ten (10) working days of admission and revised, as necessary,
					 to include recommended changes in the therapeutic plan. The disposition to be
					 followed in the event of emergency situations shall be specified in the plan of
					 care;
g. Medical history to
					 include allergies and special precautions;
h. Immunization record;
i. Quarterly reviews of the protocol of care
					 to update the plan in consultation with other professionals involved in the
					 child's care;
j. A discharge
					 order, written by the primary care or subspecialist physician, shall be
					 documented and entered in the child's record. A discharge summary, which
					 includes the reason for discharge, shall also be included.