EXTENDED CONGREGATE CARE SERVICES. All services must be provided in the least restrictive environment, and in a manner that respects the resident’s independence, privacy, and dignity.
(a) A facility providing extended congregate care services may provide supportive services including social service needs, counseling, emotional support, networking, assistance with securing social and leisure services, shopping service, escort service, companionship, family support, information and referral, assistance in developing and implementing self-directed activities, and volunteer services. Family or friends must be encouraged to provide supportive services for residents. The facility must provide training for family or friends to enable them to provide supportive services in accordance with the resident’s service plan.
(b) A facility providing extended congregate care services must make available the following additional services if required by the resident’s service plan:
- Total help with bathing, dressing, grooming and toileting,
- Nursing assessments conducted more frequently than monthly,
- Measurement and recording of basic vital functions and weight,
- Dietary management including provision of special diets, monitoring nutrition, and observing the resident’s food and fluid intake and output,
- Assistance with self-administered medications, or the administration of medications and treatments pursuant to a health care practitioner’s order. If the individual needs assistance with self-administration the facility must inform the resident of the qualifications of staff who will be providing this assistance, and if unlicensed persons will be providing such assistance, obtain the resident’s or the resident’s surrogate, guardian, or attorney-in-fact’s informed written consent to provide such assistance as required in Section 429.256, F.S.,
- Supervision of residents with dementia and cognitive impairments,
- Health education and counseling and the implementation of health-promoting programs and preventive regimes,
- Provision or arrangement for rehabilitative services; and,
- Provision of escort services to health-related appointments.
(c) Nursing staff providing extended congregate care services may provide any nursing service permitted within the scope of their license consistent with the residency requirements of this rule and the facility’s written policies and procedures, provided the nursing services are:
- Authorized by a health care practitioner’s order and pursuant to a plan of care,
- Medically necessary and appropriate for treatment of the resident’s condition,
- In accordance with the prevailing standard of practice in the nursing community,
- A service that can be safely, effectively, and efficiently provided in the facility,
- Recorded in nursing progress notes; and,
- In accordance with the resident’s service plan.
(d) At least monthly, or more frequently if required by the resident’s service plan, a nursing assessment of the resident must be conducted.