Section 390.1010 Service Programs

Section 390

Section 390.1010 Service

Programs

a)         The facility shall provide, either directly or through

arrangements with an outside resource, as needed by the individual resident,

all services necessary to maintain and promote good physical health and development.

These services shall consist of, at a minimum, the following: (B)

1)         Medical Services as described in Section 390.1020. (B)

2)         Physician Services described as in Section 390.1030. (B)

3)         Nursing Services described in Section 390.1040. (B)

4)         Dental Services as described in Section 390.1050. (B)

5)         Physical and Occupational Therapy Services as described in

Section 390.1060. (B)

6)         Psychological Services as described in Section 390.1070. (B)

7)         Social Services as described in Section 390.1080. (B)

8)         Speech Pathology and Audiology Services as described in

Section 390.1090. (B)

9)         Recreational and Activity Services as described in Section

390.1100. (B)

10)         Educational Services as described in Section 390.1110. (B)

11)         Work Activity and Prevocational Training Services as

described in Section 390.1120. (B)

b)         These services shall be expressed in a written individual

habilitation plan. The individual habilitation plan is a total program plan of

care for each individual resident that is developed on the basis of all

assessment results.

c)         Each resident shall have an individual habilitation plan

developed within 14 days of admission. This plan shall be reviewed and updated

approximately six weeks following admission and every six months thereafter or

more frequently as necessary, to assure continuing appropriateness of goals,

consistency of management methods with goals and objectives, and the

achievement of progress towards goals.

d)         The individual habilitation plan shall be developed by an

appropriately constituted interdisciplinary team and state specific objectives

to reach identified goals

n and every six months thereafter or

more frequently as necessary, to assure continuing appropriateness of goals,

consistency of management methods with goals and objectives, and the

achievement of progress towards goals.

d)         The individual habilitation plan shall be developed by an

appropriately constituted interdisciplinary team and state specific objectives

to reach identified goals.

e)         Each goal and objective shall:

1)         reflect the residents needs as identified by assessment data;

2)         be stated in terms of a single outcome;

3)         be expressed in terms that provide measurable indices of

progress;

4)         be sequenced within a developmental progression, when

applicable;

5)         be assigned priorities;

6)         project a date for initiation of service;

7)         have a targeted date of attainment;

8)         specify activities for achievement of the objectives;

9)         be written in terms that are understandable to all concerned;

10)       identify the individual responsible for delivering the

services.

f)         The residents' response to programs designed to achieve the

objectives shall be documented and available to staff.

g)         Problems or changes that call for review of the individual

habilitation plan by the interdisciplinary team shall be documented.