{"ref":"LA-HC-ADM-02","title":"Comprehensive Assessment and Reassessment","category":"Service delivery","summary":"Sets how the Agency assesses each client's needs before any service and at least annually, and more often as needs change: who assesses, the risk areas LAC 48:I.5039.B.3 requires (life safety, living environment, health conditions, functional capacity and financial health), the capacity decision, when a Medicaid or program office assessment can substitute, the registered nurse assessment needed if direct service workers administer medication, and how the findings feed the individual service plan.","inShort":["Every client is assessed in the home before any service, at least once a year, and again whenever needs change.","The assessment covers safety and evacuation, hazards in the home such as falls and hot water, health, daily activities and money.","Only a supervisor or registered nurse does the assessment, never a direct care worker alone.","Tell your supervisor right away about any change in the client's health, abilities or home, because it may need a new assessment.","Read the risks found in the assessment, and how the plan handles them, before your first visit."],"primaryCitation":"LAC 48:I.5039.B","citations":["LAC 48:I.5039.A","LAC 48:I.5039.B","LAC 48:I.5039.B.1","LAC 48:I.5039.B.2","LAC 48:I.5039.B.3","LAC 48:I.5039.B.4","LAC 48:I.5039.B.5","LAC 48:I.5039.B.6","LAC 48:I.5041.A","LAC 48:I.5041.F.1","LAC 48:I.5045.H","LAC 48:I.5055.M.5","LAC 48:I.5057.A.8","LAC 48:I.5063.B","LAC 48:I.9243.A.2.d","Medicaid Services Manual, Chapter 30, §30.7"],"federalCitations":[],"surveyorAsks":["Show me this client's assessment. Was it done before the first service? When was it last updated?","Where does your assessment cover the client's ability to evacuate the home, hot water temperatures and food kept at safe temperatures?"],"forms":[{"ref":"LA-HC-ADM-02-A","title":"Comprehensive Client Assessment"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (LAC 48:I.5039.B)","5. When Assessments Are Done","6. Who Assesses","7. What the Assessment Covers (LAC 48:I.5039.B.3)","8. Other Information Gathered","9. The Capacity Decision","10. Medicaid and Program Office Assessments (LAC 48:I.5039.B.5)","11. Registered Nurse Assessment When Direct Service Workers Administer Medication","12. Changes in Physical or Mental Status","13. Using the Assessment","14. Responsibilities","15. Records and Compliance Monitoring","16. Staff Training","17. References","18. Related Policies and Forms","19. Approval","20. Revision History"],"version":"1.0","sample":false,"pack":"la-hca","state":"Louisiana","service":"Home care","guides":[{"path":"/guides/home-care-agency-policies/","h1":"What policies does a home care agency need?"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}