Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 83 - Community-Based Residential Facilities › Subchapter VII - Resident Care and Services › Section DHS 83.38 - Program services

Current through June 24, 2024
(1) SERVICES. As appropriate, the CBRF shall
				  teach residents the necessary skills to achieve and maintain the resident's
				  highest level of functioning. In addition to the assessed needs as determined
				  under s.
				  DHS
				  83.35(1), the CBRF shall provide or
				  arrange services adequate to meet the needs of the residents in all of the
				  following areas:
(a)
Personal
				  care.
Personal care services shall be designed and provided to allow a
				  resident to increase or maintain independence.
(b)
Supervision.
The CBRF
				  shall provide supervision appropriate to the resident's needs.
(c)
Leisure time activities.
The CBRF shall provide a daily activity program to meet the interests and
				  capabilities of the residents. Employees shall encourage and promote resident
				  participation in the activity program. The CBRF shall develop and post the
				  activity schedule in an area available to residents.
(d)
Community activities.
The CBRF shall provide information and assistance to facilitate participation
				  in personal and community activities. The CBRF shall develop, update and make
				  available to all residents, monthly schedules and notices of community
				  activities, including costs.
(e)
Family and social contacts.
The CBRF shall encourage and
				  assist residents in maintaining family and social contacts.
(f)
Communication skills.
The CBRF shall provide services to meet the resident's communication
				  needs.
(g)
Health
				  monitoring.
1. The CBRF shall
				  monitor the health of residents and make arrangements for physical health, oral
				  health or mental health services unless otherwise arranged for by the resident.
				  Each resident shall have an annual physical health examination completed by a
				  physician or an advanced practice nurse as defined in s.
				  N
				  8.02(1), unless seen by a physician
				  or an advanced practice nurse as defined in s.
				  N
				  8.02(1) more frequently.
2. When indicated, a CBRF shall observe
				  residents' food and fluid intake and acceptance of diet. The CBRF shall report
				  significant deviations from normal food and fluid intake patterns to the
				  resident's physician or dietician.
3. The CBRF shall document communication with
				  the resident's physician and other health care providers, and shall record any
				  changes in the resident's health or mental health status in the resident's
				  record.
(h)
Medication administration.
The CBRF shall provide medication
				  administration appropriate to the resident's needs.
(i)
Behavior management.
The
				  CBRF shall provide services to manage resident's behaviors that may be harmful
				  to themselves or others.
(j)
Information and referral.
The CBRF shall provide information
				  and referral to appropriate community services.
(k)
Transportation.
The CBRF
				  shall provide or arrange for transportation when needed for medical
				  appointments, work, educational or training programs, religious services and
				  for a reasonable number of community activities of interest. CBRFs that
				  transport residents shall develop and implement written policies addressing the
				  safe and secure transportation of residents.