N.H. Admin. Code § He-E 802.12

Current through Register No. 50, December 12, 2024

Section He-E 802.12 - Planning and Implementation of Care

(a) The NF shall develop and implement a plan of care in accordance with 42 CFR 483.10(c). The plan of care shall be part of the NF's permanent resident record. The resident has the right to participate in the development and implementation of his or her plan of care.

(b) The plan of care shall be updated at least every 90 days by the physician and other personnel involved in the care of the resident.

(c) The NF shall include the following information in the resident's plan of care:

(1) The resident's:

a. Full name;

b. Address;

c. Gender;

d. Date of birth;

e. Identification number;

f. Admission date; and

g. Any other pertinent identifying information;

(2) Diagnosis, symptoms, complaints, and complications indicating the need for admission or continuing care;

(3) The resident's life history, significant relationships, and personal preferences;

(4) A description of the resident's functional level;

(5) Written objectives and approaches by responsible personnel, including the dates when goals are achieved;

(6) Orders for:

a. Medications;

b. Treatments;

c. Restorative and rehabilitative services;

d. Therapies;

e. Diet;

f. Activities;

g. Social services; and

h. Special procedures designed to meet these objectives;

(7) Progress notes that shall be written at least every 90 days;

(8) Plans for continuing care, including provisions for review and necessary modifications of the plan; and

(9) Discharge planning initiated within 7 days of admission.

(d) When discharge to the community is planned, the NF shall contact the department to ensure targeted transitional case management assignment pursuant to RSA 151-E:17.

N.H. Admin. Code § He-E 802.12

#7751, eff 8-17-02, EXPIRED: 8-17-10

New. #9786, INTERIM, eff 9-20-10; ss and renumbered by #9888-A, eff 3-19-11 (formerly He-E 802.11 )

Amended by Volume XXXIX Number 16, Filed April 18, 2019, Proposed by #12741, Effective 3/20/2019, Expires 9/16/2019.

Amended by Volume XL Number 46, Filed November 12, 2020, Proposed by #13130, Effective 10/30/2020, Expires 10/29/2030.