Pennsylvania Code › Title 55 - HUMAN SERVICES › Part IV - Adult Services Manual › Subpart E - Residential Agencies/Facilities/Services › Chapter 2800 - ASSISTED LIVING RESIDENCES › SERVICES › Section 2800.227 - Development of the final support plan

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Each resident requiring services shall
					 have a written final support plan developed and implemented within 30 days
					 after admission to the residence. The final support plan shall be documented on
					 the Department's support plan form.
(b) A residence may use its own support plan
					 form if it includes the same information as the Department's support plan form.
					 An LPN, under the supervision of an RN, shall review and approve the final
					 support plan.
(c) The final support
					 plan shall be revised within 30 days upon completion of the annual assessment
					 or upon changes in the resident's needs as indicated on the current assessment.
					 The residence shall review each resident's final support plan on a quarterly
					 basis and modify as necessary to meet the resident's needs.
(d) Each residence shall document in the
					 resident's final support plan the dietary, medical, dental, vision, hearing,
					 mental health or other behavioral care services that will be made available to
					 the resident, or referrals for the resident to outside services if the
					 resident's physician, physician's assistant or certified registered nurse
					 practitioner, determine the necessity of these services. This requirement does
					 not require a residence to pay for the cost of these medical and behavioral
					 care services. The final support plan must document the assisted living
					 services and supplemental health care services, if applicable, that will be
					 provided to the resident.
(e) The
					 resident's final support plan must document the ability of the resident to
					 self-administer medications or the need for medication reminders or medication
					 administration and the ability of the resident to safely operate key-locking
					 devices. Strategies that promote interactive communication on the part of and
					 between direct care staff and individual residents shall also be included in
					 the final support plan.
(f) A
					 resident shall be encouraged to participate in the development and
					 implementation of the final support plan. A resident may include a designated
					 person or family member in making decisions about services.
(g) Individuals who participate in the
					 development of the final support plan shall sign and date the support
					 plan.
(h) If a resident or
					 designated person is unable or chooses not to sign the final support plan, a
					 notation of inability or refusal to sign shall be documented.
(i) The final support plan shall be
					 accessible by direct care staff persons at all times.
(j) A resident or a designated person has a
					 right to request the review and modification of his support plan.
(k) The residence shall give a copy of the
					 final support plan to the resident and the resident's designated person. The
					 final support plan shall be attached to or incorporated into and serve as part
					 of the resident-residence contract.
This section cited in 55 Pa. Code §
													2800.22 (relating to application
						  and admission); 55 Pa. Code §
													2800.54 (relating to
						  qualifications for direct care staff persons); 55 Pa. Code §
													2800.181 (relating to
						  self-administration); and 55 Pa. Code Appendix A (relating to assisted living
						  resident rights: during residency and during discharge or termination of
						  residency).