The resident service plan

It’s funny how the real world relates to the world we operate inside of with our communities. Just as every person in the ‘natural world has specific likes, dislikes, and needs, our residents do just the same! Each person living in your facility has certain needs related to their personal care and must attend to as such. This is the reason behind why a ‘service plan’ is needed for each resident. We must assess each person and develop a plan for maintaining their care in order to provide the best possible experience for them. See the following regulation regarding service plans by the Arizona Bureau of Residential Facilities Licensing:

R9-10-808. Service Plans

  1. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that:
  2. Is completed no later than 14 calendar days after the resident’s date of acceptance;
  3. Is developed with assistance and review from:
  4. The resident or resident’s representative,
  5. The manager, and
  6. Any individual requested by the resident or the resident’s representative;
  7. Includes the following:
  8. A description of the resident’s medical or health problems, including physical, behavioral, cognitive, or functional conditions or impairments;
  9. The level of service the resident is expected to receive;
  10. The amount, type, and frequency of assisted living services being provided to the resident, including medication administration or assistance in the self-administration of medication;
  11. For a resident who requires intermittent nursing services or medication administration, review by a nurse or medical practitioner;
  12. For a resident who requires behavioral care:
  13. Any of the following that is necessary to provide assistance with the resident’s psychosocial interactions to manage the resident’s behavior:

(1) The psychosocial interactions or behaviors for which the resident requires assistance,

(2) Psychotropic medications ordered for the resident,

(3) Planned strategies and actions for changing the resident’s psychosocial interactions or behaviors, and

(4) Goals for changes in the resident’s psychosocial interactions or behaviors; and

  1. Review by a medical practitioner or behavioral health professional; and
  2. For a resident who will be storing medication in the resident’s bedroom or residential unit, how the medication will be stored and controlled;
  3. Is reviewed and updated based on changes in the requirements in subsections (A)(3)(a) through (f):
  4. No later than 14 calendar days after a significant change in the resident’s physical, cognitive, or functional condition; and
  5. As follows:
  6. At least once every 12 months for a resident receiving supervisory care services,
  7. At least once every six months for a resident receiving personal care services, and

iii. At least once every three months for a resident receiving directed care services; and

  1. When initially developed and when updated, is signed and dated by:
  2. The resident or resident’s representative;
  3. The manager;
  4. If a review is required in subsection (A)(3)(d), the nurse or medical practitioner who reviewed the service plan; and
  5. If a review is required in subsection (A)(3)(e)(ii), the medical practitioner or behavioral health professional who reviewed the service plan.

Top Takeaways:

  • Is completed no later than 14 calendar days after the resident’s date of acceptance; (Service Plan)

Pay close attention here- the reg states 14 days AFTER ACCEPTANCE, not after admission. When you make the decision to accept the resident you need to begin to work on the service plan.

  • Includes the following:
  1. The amount, type, and frequency of assisted living services being provided to the resident, including medication administration or assistance in the self administration of medication;

The service plan is an all-encompassing document that provides a comprehensive plan of what services the facility will be providing to the resident. You should review the service plan with the resident to ensure they understand what assistance they will be receiving.

  • Is reviewed and updated based on changes in the requirements in subsections (A)(3)(a) through (f):
  1. No later than 14 calendar days after a significant change in the resident’s physical, cognitive, or functional condition; and
  2. As follows:
  3. At least once every 12 months for a resident receiving supervisory care services,
  4. At least once every six months for a resident receiving personal care services, and

iii. At least once every three months for a resident receiving directed care services;

The resident service plan is an ever-changing document and must be continuously updated to reflect the current needs of the resident. If the inspection team identifies a service plan that is out of date you will be cited for it.

 

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