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Virginia Administrative Code (Last Updated: January 10, 2017) |
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Title 22. Social Services |
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Agency 40. Department of Social Services |
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Chapter 72. Standards for Licensed Assisted Living Facilities |
Section 480. Health care oversight
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A. Each assisted living facility shall retain a licensed health care professional who has at least two years of experience as a health care professional in an adult residential facility, adult day care center, acute care facility, nursing home, or licensed home care or hospice organization, either by direct employment or on a contractual basis, to provide health care oversight.
1. For residents who meet the criteria for residential living care, the licensed health care professional, acting within the scope of the requirements of his profession, shall be on-site at least every six months and more often if indicated, based on his professional judgment of the seriousness of a resident's needs or the stability of a resident's condition.
2. For residents who meet the criteria for assisted living care, the licensed health care professional, acting within the scope of the requirements of his profession, shall be on-site at least every three months and more often if indicated, based on his professional judgment of the seriousness of a resident's needs or the stability of a resident's condition.
B. While on-site, as specified in subsection A of this section, the licensed health care professional shall:
1. Recommend in writing changes to a resident's service plan if the plan does not appropriately address the current health care needs of the resident.
2. Monitor direct care staff performance of health-related activities.
3. Advise the administrator of the need for staff training, as necessary.
4. Provide consultation and technical assistance to staff as needed.
5. Observe residents for whom the assisted living facility is receiving reimbursement from the Department of Medical Assistance Services for intensive assisted living services and recommend in writing any needed changes in the care provided or in the resident's service plan.
6. Review documentation regarding health care services, including medication and treatment records to assess that services are being provided in accordance with physicians' or other prescribers' orders, and keep the administrator appropriately informed.
7. Monitor conformance to the facility's medication management plan and the maintenance of required medication reference materials, and advise the administrator of any concerns.
8. Monitor infection control measures and advise the administrator of any concerns.
9. Review the current condition and the records of restrained residents to assess the appropriateness of the restraint and progress toward its reduction or elimination, and advise the administrator of any concerns.
10. Certify in writing that the requirements of subdivisions 1 through 9 of this subsection were met, including the date(s) the health care oversight was provided. The certification shall be provided to the facility within 10 days of the completion of the oversight and maintained in the facility files for at least two years.
Historical Notes
Derived from Volume 23, Issue 06, eff. December 28, 2006.