12 Colo. Code Regs. § 2510-1-10.414.2

Current through Register Vol. 47, No. 22, November 25, 2024

Section 12 CCR 2510-1-10.414.2 - Personal Care Services Provider Responsibilities and Requirements [Rev. eff. 12/1/10]

A. All providers shall operate in full compliance with all applicable federal, state, and local fire, health, safety, sanitation, and other standards prescribed in law or regulations.

B. All providers shall keep such records and information as necessary to document the services provided to consumers receiving care.

C. Personal care provider agencies shall meet the following personal care requirements:

1. Supervisory visits shall be made to the consumer's home at least every three (3) months or more often as necessary for problem resolution, skills validation of staff, consumer specific or procedure-specific training of staff, observation of the consumer's condition and care, and/or assessment of satisfaction with services. At least one of the assigned personal staff shall be present at supervisory visits; and,

2. Staff rendering personal care services to older adults shall receive at least twenty (20) hours of training related to performing personal care tasks or pass a skills validation test before providing the service.

D. Personal care services shall include direct assistance, stand-by assistance, supervision or cues of the following activities:

1. Bathing, when no skilled services are required in conjunction with the bathing;

2. Skin care, including application of lotions or solutions that are not medicated and/or do not require a physician's prescription;

3. Hair care, including shampooing with shampoo that is not medicated or does not require a physician's prescription, drying, combing, and styling of hair;

4. Nail care, including soaking of the nails, pushing back cuticles, and trimming and filing of nails;

5. Mouth care, including denture care and basic oral hygiene;

6. Shaving, when done with an electric razor;

7. Dressing assistance, including application of support stockings that can be purchased without a physician's order, and orthopedic devices such as splints, braces or artificial limbs if the older adult has been fully trained in the use of the device or limb and is able to instruct the personal care staff;

8. Feeding, when the consumer is able to eat by mouth, using common eating utensils, such as forks, knives, spoons, and straws;

9. Assistance with ambulation, including transfers, if the older adult does not require skilled supervision, has been fully trained in the use of adaptive equipment (such as gait belts, walkers, canes, and wheelchairs) and is able to instruct the personal care staff;

10. Assistance with exercise when a licensed medical professional does not prescribe the exercises;

11. Assistance with transfers when the consumer has sufficient balance and strength to assist with the transfer:

a. Adaptive equipment other than Hoyer lifts may be used if the older adult is fully trained in the use of the equipment and can direct the transfer step by step.

b. Adaptive equipment may include gait belts, wheel chairs, tub seats, and grab bars.

12. Positioning to assist the consumer to change position or alignment in a bed, wheelchair, or other furniture;

13. Bowel and bladder care to include assisting the older adult to and from the bathroom, assistance with bed pans, urinals, and commodes; changing of clothing and pads used for incontinence:

a. Emptying of Foley catheter bags or suprapubic catheter bags if the personal care staff has been trained to understand what constitutes disruption of the closed system and is able to ensure that such a disruption does not occur; and,

b. Emptying of ostomy bags and assistance with other consumer-directed ostomy care if there is no need for skilled skin care or observation and reporting to a nurse.

14. Medication reminding if the medications have been pre-selected by the older adult, the older adult's family or caregiver, a nurse or a pharmacist, and are stored in containers other than prescription bottles, such as medication minders.

a. Medication reminding includes only:

1) Inquiries as to whether a medication has been taken;

2) Verbal prompting to take medications;

3) Providing the proper liquid and utensil with which to take medications;

4) Handing the appropriately marked medication minder to the older adult; and,

5) Opening the appropriately marked prescription minder container for the older adult if the older adult is physically unable to open the container.

b. Medication reminding shall not include taking the medication out of the container.

15. Respiratory care services shall include only cleaning or changing tubing for oxygen equipment, refilling the distilled water reservoir, and temporarily removing and replacing the cannula or mask from the older adult's face for purposes of shaving or washing the older adult's face.

16. Accompanying the older adult to medical appointments, banking errands, basic household errands, clothes shopping, and grocery shopping to the extent necessary and specified in the older adult's service plan.

a. Personal care for accompanying the older adult shall only be approved when a personal care provider is needed during the trip to provide one or more unskilled personal care services.

b. Accompanying the older adult to provide companionship is not a covered benefit.

12 CCR 2510-1-10.414.2

39 CR 01, January 10, 2016, effective 2/1/2016