Resident health care plan | MT

37.106.2875 RESIDENT HEALTH CARE PLAN: CATEGORY B

  • Within 21 days of admission to a category B status, the administrator or designee shall assure that a written resident health care assessment is performed on each category B
  • Each initial health care assessment by the licensed health care professional shall include, at a minimum, evaluation of the following:
    • cognitive status;(b) communication/hearing patterns;(c) vision patterns;(d) physical functioning and structural problems;(e) continence;(f) psychosocial well being;(g) mood and behavior patterns;(h) activity pursuit patterns;(i) disease diagnosis;(j) health conditions;(k) oral nutritional status;(l) oral dental status;(m) skin condition;(n) medication use; and(o) special treatment and procedures.(3) A written resident health care plan shall be

The resident health care plan shall include, but not be limited to the following:

  • a statement which informs the resident and the resident’s practitioner, if applicable, of the requirements of 50-5-226(3) and (4),
  • orders for treatment or services, medications and diet, if

needed; (c) the resident’s needs and preferences for themselves; (d) the specific goals of treatment or services, if

appropriate; (e) the time intervals at which the resident’s response to treatment will be reviewed; and (f) the measures to be used to assess the effects of treatment;

(g) if the resident requires care or supervision by a licensed health care professional, the health care plan shall include the tasks for which the professional is responsible.

  • The category B resident’s health care plan shall be reviewed, and if necessary revised upon change of
  • The health care plan shall be readily available to and followed by those staff and licensed health care professionals providing the services and health

 

37.106.2879 INCONTINENCE CARE: CATEGORY B (1) In order to maintain normal bladder and bowel functions, the facility shall provide individualized attention to each resident that meets the following minimum standards:

 

  • the facility shall provide a resident who is incontinent of bowel or bladder adequate personal care services to maintain the person’s skin integrity, hygiene and dignity and to prevent urinary tract
  • Evidence that the facility is meeting each resident’s needs for maintaining normal bowel and bladder functions include the following outcomes for residents at risk for incontinence:
    • the resident is checked during those periods when they are known to be incontinent, including the night;
    • the resident is kept clean and dry;
    • clean and dry bed linens are provided as needed; and
    • if the resident can benefit from scheduled toileting, they are assisted or reminded to go to the bathroom at regular
  • Indwelling catheters are permissible, if the catheter care is taught and supervised by a licensed health care professional under a practitioner’s Observations and care must be documented.
  • Facility staff shall not:
    • withhold fluids from a resident to control incontinence; or
    • have a resident catheterized to control incontinence for the convenience of