New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 3 - Residential Care Facilities › Part 410 - Scheduled Short-term Care In A Nursing Home › Section 410.2 - Resident care standards

Current through Register Vol. 46, No. 28, July 10, 2024
(a)
					 Services provided to scheduled short-term residents shall comply with the
					 regulations governing nursing homes in Parts 400, 411, 412, 413, 414 and 415 of
					 this Subchapter, as appropriate, except for the following provisions: 400.11,
					 Assessment of long-term care patients; 400.13 Forms (Hospital/Community Patient
					 Review Instrument); 415.3(c)(2)(ii)(a)(1)-(3), (b) and (c), Protection of Legal
					 Rights; 415.3(h)(1)(i)-(vi), (2)(i)-(v) and (3), (4)(i)-(iii), Transfer and
					 Discharge Rights; 415.11(d)(1)-(3), Discharge Summary; 415.17(b) and (c),
					 Dental Services; 415.26(b)(10)(ii)(a) and (b), Governing Body; and
					 415.26(i)(1)(i)(a)-(c), (iii) and (v), Admission Policies and
					 Practices.
(b) All facility staff
					 involved with the scheduled short-term care residents shall receive a general
					 orientation to familiarize them with these services. Direct care staff shall
					 receive training to include an overview of scheduled short-term care, the
					 special needs of the elderly living at home, and how facility care practices
					 can be adapted to reflect patterns of care provided by the caregiver.
(c) Scheduled short-term care services shall
					 be provided in a manner that meets the needs of the resident and shall not
					 interfere with, or detract from, the ongoing services provided to the other
					 residents of the facility.
(d) If
					 the potential resident is not already known to the facility through such means
					 as a prior admission for scheduled short-term services or enrollment in the
					 facility's adult day health care services or long-term home health care
					 program, the facility shall arrange for facility staff to visit the prospective
					 resident and caregiver at their home or shall arrange for the prospective
					 resident and caregiver to visit the facility to determine whether scheduled
					 short-term care in a nursing home is appropriate for the individual.
(e) An assessment of each new applicant shall
					 be completed prior to admission in order to establish baseline information
					 about the individual and to establish a plan of care which meets his or her
					 needs for nursing home services.
(f) A history and physical examination shall
					 be completed for each potential scheduled short-term care resident before
					 admission unless: one has been completed within the past year, the results of
					 which are available to the facility, and the resident's condition has remained
					 unchanged.
(g) The nursing home
					 shall admit residents for scheduled short-term care only on a physician's
					 order.
(h) A resident care plan
					 based on the assessment and history and physical examination shall be developed
					 with the resident and caregiver and completed upon admission. Following
					 admission, the resident care plan shall be revised as necessary to reflect any
					 change in the resident's care needs.
(i) Prior to admission, a discharge plan
					 shall be developed with the prospective resident and caregiver. The discharge
					 plan shall provide for return to the resident's home setting. Prior to
					 discharge of the resident, the discharge plan shall be discussed with the
					 caregiver to note any changes in the resident's condition and to discuss any
					 recommendation for provision of care and services after the resident's return
					 to the home setting.
(j) Following
					 discharge, the facility shall contact the former resident and caregiver to
					 obtain their assessment of the scheduled short-term care experience. No less
					 frequently than every six months, the nursing home shall evaluate the findings
					 of these assessments. Based on this evaluation, written policies and procedures
					 and facility practices shall be changed or modified as needed.