N.H. Admin. Code § He-W 552.09

Current through Register No. 36, September 5, 2024

Section He-W 552.09 - Personal Care Assessments and the Plan of Care

(a) A personal care assessment shall be conducted by the provider's licensed registered nurse and used to develop the plan of care.

(b) The personal care assessment shall include the following:

(1) The recipient's functional level;

(2) The adaptability of the recipient's place of residence to the provision of PCA services;

(3) The capability of the recipient to participate in his or her own care and to determine the degree of support needed; and

(4) The extent of, and need for, any natural supports taking into account the potential contributions of natural supports.

(c) The plan of care shall:

(1) Be based on the recipient's physician's documentation described in He-W 552.03(c) and the personal care assessment as described in (a) above;

(2) Include the information from the personal case assessment as well as the following:

a. Diagnosis;

b. Recipient status, including:

1.Behavioral health status;

2.Physical health status;

3.Functional limitations; and

4.Rehabilitative prognosis;

c. PCA services needed, including:

1.The type, frequency, and number of hours and/or 15 minute units per day or week;

2.Any equipment requirements;

3.Any nutritional requirements; and

4.Medications;

d. Discharge planning or referral; and

e. Other identified appropriate PCA services;

(3) Be signed by the licensed registered nurse responsible for the oversight of the recipient's care, and incorporated in the provider's record for the recipient; and

(4) Be reviewed by the provider's licensed registered nurse who is responsible for the oversight of the recipient's care every 3 months, and the prescribing physician every 6-months, or more often if warranted by the severity of the recipient's functional limitations.

(d) The provider's licensed registered nurse who is responsible for the oversight of the recipient's PCA services shall make a face-to-face visit to the recipient's residence at least once every 3-months to:

(1) Reassess the PCA services in light of the recipient's needs as described in the plan of care, and note any need for changes to the plan of care;

(2) Confirm that the recipient is satisfied with the PCA services being provided;

(3) Verify that the PCA services being provided in accordance with the recipient's needs, preferences and the plan of care; and

(4) Ensure that documentation and recordkeeping are being performed in an accurate and appropriate manner.

(e) All assessments required in (a) and (d) above shall be conducted using a standardized assessment tool of the provider's choice, which has been reviewed by the department.

(f) Any revisions to the plan of care as a result of a review as described in (d) above, shall be in writing, and approved by the recipient's physician.

N.H. Admin. Code § He-W 552.09

#10676, eff 9-26-14

Amended byVolume XXXIV Number 41, Filed October 9, 2014, Proposed by #10676, Effective 9/26/2014, Expires 9/26/2024.