Ohio Administrative Code › Title 3701 - Department of Health - Administration and Director › Chapter 3701-16 - Residential Care Facilities › Section 3701-16-08 - Resident health assessments

Current through all regulations passed and filed through July 1, 2024
(A) The residential care facility, in
			 accordance with this rule,
								
								will
			 ensure that written initial and periodic health assessments of
			 prospective and current residents are conducted.
			 The different components of the health assessment may be performed by different
			 licensed health professionals, consistent with the type of information
			 
								bring
			 collected and the professional's scope of practice, as defined by
			 applicable law. In conducting the assessment, the licensed health professional
			 may use resident information obtained by or from unlicensed staff as long as
			 the licensed health professional evaluates such information in accordance with
			 their applicable scope of practice. The residential care facility
			 is obligated
			 to ensure that all components of the assessments
			 
								obligated by this rule are completed and that
			 residents do not 
								need accommodations or services beyond those that
			 the residential care facility provides. Each residential care facility
			 is obligated
			 to, on an annual basis, offer to each resident a vaccination against
			 influenza and a vaccination against pneumococcal pneumonia as
			 
								obligated by section
			 3721.041 of the Revised
			 Code.
(B) Each resident
			 
								is obligated
			 to be initially assessed within forty-eight hours of admission, except
			 that paragraphs (C)(11) and (C)(12) of this rule 
								are obligated
			 to be performed within fourteen days after admission. If the resident had
			 an assessment meeting the 
								criteria set forth in paragraph (C) of this rule
			 performed no more than ninety days before beginning to reside in the
			 residential care facility, the resident 
								does not 
								need to
			 obtain another initial assessment.
(C) The initial health assessment
			 
								is obligated
			 to include documentation of the following:
(1) Preferences of the resident including
			 hobbies, usual activities, bathing, sleeping patterns, socialization and
			 religious;
(2) Medical diagnoses,
			 if applicable;
(3) Psychological,
			 intellectual disabilities, and developmental diagnoses history, if
			 applicable;
(4) Health history and
			 physical, including cognitive functioning and sensory and physical impairments,
			 and the risk of falls;
(5)
			 Prescription medications, over-the-counter medications, and dietary
			 supplements;
(6) Nutrition and
			 dietary needs, including any food allergies and intolerances,
			 food preferences, and need for any adaptive equipment, and needs for assistance
			 and supervision of meals;
(7)
			 Height, weight, and history of weight changes;
(8) A functional assessment which evaluates
			 how the resident performs activities of daily living and instrumental
			 activities of daily living. For the purposes of this paragraph, "instrumental
			 activities of daily living" means using the telephone, acquiring and using
			 public and private transportation, shopping, preparing meals, performing
			 housework, laundering, and managing financial affairs;
(9) Type of care or services, including the
			 amount, frequency, and duration of skilled nursing care the resident needs as
			 determined by a licensed health professional in accordance with the resident's
			 assessment under paragraph (C) of this rule;
(10) A determination by a physician or other
			 licensed healthcare professional working within their scope of practice, as to
			 whether or not the resident is capable of self-administering medications. The
			 documentation 
									will specify what assistance with
			 self-administration, as authorized by paragraph (F) of rule
			 3701-16-09 of the Administrative
			 Code, if any, is needed or if the resident needs to have medications
			 administered in accordance with paragraphs (G) and (H) of rule
			 3701-16-09 of the Administrative
			 Code;
(11) If skilled care is
			 provided to the resident by staff members, a determination by a physician or
			 other licensed healthcare professional working within their scope of practice
			 of:
(a) Whether the resident's personal care
			 needs have been affected by the skilled nursing care needs, other than the
			 administration of medication or supervision of special diets; and
(b) Whether any changes are
			 
										necessary in the manner personal care services are
			 provided. The individual conducting the assessment 
										is obligated to
			 establish the extent, if any, of the changes necessary.
(12) If skilled nursing care is provided to
			 the resident by staff members, the resident's attending physician or other
			 licensed healthcare professional working within their scope of practice,
			 
									will
			 sign orders documenting the need for skilled nursing care, including the
			 specific procedures and modalities to be used and the amount, frequency, and
			 duration. This care is obligated to be provided and reviewed pursuant to
			 paragraph (B) of rule
			 3701-16-09.1 of the
			 Administrative Code.
(13) If the
			 resident has been determined to have medical, psychological, or developmental
			 or intellectual impairment, the assessment is obligated to
			 include:
(a) A plan for addressing the
			 resident's assessed needs;
(b) The
			 need for physical environment and design features to support the functioning of
			 the resident; and
(c) The need for
			 increased supervision, due to decreased safety awareness or other assessed
			 condition.