{"ref":"LA-HH-ASM-01","title":"Comprehensive Assessment and Reassessment","category":"Service delivery","summary":"Sets out how each patient receives a patient-specific comprehensive assessment and regular reassessment: who may complete it, when (no later than 5 calendar days after the start of care; the last 5 days of every 60 days; within 48 hours of return home after a hospital admission of 24 hours or more; at discharge; and whenever the patient's condition changes significantly), what it must contain, and how findings feed the plan of care. The timing and content are federal Conditions of Participation if the Agency is Medicare-certified; the Agency applies them to every patient as its own standard, together with the Louisiana admission documentation and RN reassessment duties in LAC 48:I Chapter 91.","inShort":["An RN, or the therapist in a therapy-only case, completes the comprehensive assessment within 5 calendar days of the start of care.","Reassess in the last 5 days of every 60 days, within 48 hours of return from a hospital stay, and at discharge.","Review every medication the patient uses, including over-the-counter remedies.","LPNs, assistants and aides report changes but do not complete assessments.","Report a major change in condition the same day so the patient can be reassessed."],"primaryCitation":"42 CFR §484.55","citations":["LAC 48:I §9123.B.3","LAC 48:I §9103.K.2.b","LAC 48:I §9103.K.2.c","LAC 48:I §9103.D.3","LAC 48:I §9103.J.2","LAC 48:I §9103.G.2.a","LAC 48:I §9103.I.2.a","LAC 48:I §9103.L.2.a","LAC 48:I §9103.E.2.b","LAC 48:I §9103.F.2.b","LAC 48:I §9129.C.1","LAC 48:I §9129.C.3","LAC 48:I §9125.A.4"],"federalCitations":["42 CFR §484.55","42 CFR §484.55(b)","42 CFR §484.55(c)","42 CFR §484.55(d)","42 CFR §484.60(c)(2)"],"surveyorAsks":["When was the comprehensive assessment completed for this patient, and by whom?","Show me the drug regimen review in the comprehensive assessment."],"forms":[],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (42 CFR §484.55)","5. Who Completes the Comprehensive Assessment","6. When the Assessment Is Completed and Updated","7. Content of the Comprehensive Assessment","8. Drug Regimen Review","9. Using the Results","10. Responsibilities","11. Records and Compliance Monitoring","12. Staff Training","13. References","14. Related Policies and Forms","15. Approval","16. Revision History"],"version":"1.0","sample":false,"pack":"la-hha","state":"Louisiana","service":"Home health","guides":[{"path":"/guides/home-health-agency-policies/","h1":"What policies and procedures are required for home health agencies?"},{"path":"/guides/home-health-conditions-of-participation/","h1":"Home health Conditions of Participation: which policies each one needs"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}