Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 113 - Regulations Governing the Licensing and Functioning of Assisted Housing Programs (includes Assisted Living Programs, Residential Care Facilities, and Private Non-Medical Institutions) (formerly 10-149 Ch. 113) › Level III - Private Non-Medical Institutions › Section 144-113-III-11 - Health Care and Access to Services

Current through 2024-29, July 17, 2024
11.1
Medical and Health care
. The provider shall coordinate
				  appropriate health care services and assist residents to access them. Each
				  resident shall have access to a duly authorized licensed practitioner of
				  his/her choice. Each resident shall have an annual physical, unless otherwise
				  specified by his/her duly authorized licensed practitioner.
[Class
				  II]
11.2
Requirements for the assessment of individual needs, development and
				  implementation of individual service plans and regular progress notes.
11.2.1
Assessments
. Each
				  resident shall be assessed within thirty (30) calendar days of admission.
				  Reassessments must be completed annually or more frequently if there is a
				  significant change in his/her condition. The assessments/reassessments are to
				  determine each resident's abilities and need for services. Residents shall have
				  an opportunity to receive individualized services that help them function in
				  the facility and in the community and that help restore them to an optimal
				  state of health, or for constructive activity, as needed. The facility will
				  assure, to a practicable extent, that residents' needs will be accommodated
				  regarding individual choices and preferences. This shall be evidenced in the
				  assessment, in the development and implementation of individual service plans
				  and in regular progress notes. The areas identified below are to be assessed.
				  The resident and resident's guardian or other legal representative, as well as
				  staff or other persons approved by the resident or resident's guardian who are
				  knowledgeable about the resident, shall participate in or be consulted
				  concerning the assessment. The listing of these areas is not meant to exclude
				  assessment of any other obvious needs that residents may exhibit. The facility
				  shall use the state approved resident assessment instrument (RAI) or other
				  assessment or assessment process as required by the agency providing the
				  MaineCare funds to determine their abilities and need for services. The most
				  current assessment shall be kept in the resident's record. Previous assessments
				  shall be kept with the residents active record.
11.2.1.1 Ability and need regarding
				  psychological services, as indicated by the ability to adjust to the facility,
				  ability to make a social and emotional transition to the facility, such as
				  communicating/relating with others, behaving appropriately, acting compatibly
				  with other residents or adapting/controlling personal habits;
11.2.1.2 Ability and need to maintain or
				  develop family and community ties;
11.2.1.3 Need for educational, religious or
				  community vocational services;
11.2.1.4 Ability and need for assistance with
				  legal or financial problems;
11.2.1.5 Ability and need for assistance with
				  personal care, or ADLs;
11.2.1.6
				  Ability to manage own personal affairs, use a telephone, handle own finances,
				  read/write correspondence, express likes/dislikes, register to vote;
11.2.1.7 Ability and need regarding social,
				  recreational and leisure time activities, specifying likes and
				  dislikes;
11.2.1.8 Abilities and
				  needs regarding hearing, vision, speech, communication, mobility and memory
				  impairments and use of related adaptive equipment;
11.2.1.9 Ability and need for assistance with
				  securing necessary health care, including medical, nursing, dental, day
				  treatment, psychological or mental health services, qualified sign language
				  interpreters and other communication assistance;
11.2.1.10 Ability and need for arranging
				  transportation to meet medical, social and business needs;
11.2.1.11 Ability and need for assistance to
				  be independent in the community;
11.2.1.12 Ability and need for assistance
				  regarding administration of medications; and
11.2.1.13 Need for discharge
				  planning.