Section 390.1060 Physical and Occupational Therapy Services

Section 390

Section 390.1060 Physical and

Occupational Therapy Services

a)         The facility shall provide physical therapy and occupational

therapy directly or by arrangements with an outside resource for those

residents who need such services. The treatment training programs should be designed

to preserve and improve abilities for independent function, such as range of motion,

strength, tolerance, coordination, and activities of daily living; and to prevent,

insofar as possible, irreducible or progressive disabilities, through means

such as the use of orthotic and prosthetic appliances, assistive and adaptive

devices, positioning, behavior adaptation, and sensory stimulation. (B)

b)         Each resident shall be evaluated within 30 days of admission

regarding the need for such services and the results of such evaluation shall

be entered in the medical record.

c)         The therapist shall function closely with the resident's

primary physician and with other medical specialists and treatment training

progress shall be recorded regularly, evaluated periodically, and used as the

basis for continuation or change of the resident's program.

d)         Physical and occupational therapy services shall be provided

as needed by the residents through personal contact of the therapists directly

with the residents and indirectly with persons involved with the residents'

treatment programs. (B)

e)         Evaluation results, treatment objectives, plans, procedures,

and continuing observations of treatment progress shall be recorded accurately,

summarized, communicated, and included in the resident's record.

f)         Physical therapists and occupational therapists shall

participate, when appropriate, in the continuing interdisciplinary evaluation

of individual residents for the purpose of initiation, monitoring, and

follow-up of habilitation programs.