Section 46.39 - Service Initiation(a) Negotiated move-in date. The facility must negotiate a move-in date with the Texas Department of Human Services (DHS) case manager and the client or the client's representative.(b) Reserved space. The facility must reserve a living unit for three days from the agreed upon move-in date for each referred client. The facility may request another referral after three days if the move-in date is not re-negotiated.(c) Client and facility agreement. The facility must have a written agreement with the client or the client's representative. Both parties must sign the written agreement before or at the time of admission. The written agreement must include the following: (1) bedhold policies for hospital and nursing facility stays;(2) personal leave policies and charges;(4) all available services in the facility; and(5) charges for services not paid by DHS and charges not included in the facility's basic daily rate, as described in § 46.15 of this chapter (relating to Additional Services and Fees).(d) Health assessment and service plan. (1) The facility must complete a health assessment and develop an individual service plan as described in § 92.41(c) of this title (relating to Standards for Type A, Type B, and Type E Assisted Living Facilities).(2) In addition to the items described in § 92.41(c) of this title, the health assessment developed by the facility must contain the following items: (C) body control problems; and(D) vital signs, height, and weight.(3) The health assessment and individual service plan must be completed: (A) within 72 hours of admission to the facility; and(B) by the appropriate person(s). (i) The facility manager or a nurse must complete the health assessment and individual service plan.(ii) A nurse must complete the medication administration portion of the health assessment for Community Based Alternatives (CBA) Assisted Living/Residential Care (AL/RC) clients. If the nurse is a licensed vocational nurse (LVN), a registered nurse (RN) must sign off on the medication administration portion of the health assessment.40 Tex. Admin. Code § 46.39
The provisions of this §46.39 adopted to be effective September 1, 2003, 28 TexReg 6941