{"ref":"NC-HH-ASM-01","title":"Comprehensive Assessment and Reassessment","category":"Service delivery","summary":"Requires a patient-specific comprehensive assessment, completed by a registered nurse (or the therapist for a therapy-only patient) no later than 5 calendar days after the start of care, covering the content in 42 CFR §484.55(c) including a drug regimen review, OASIS items, and the patient’s individual emergency plan; updated in the last 5 days of every 60 days, within 48 hours of return home from a hospital stay of 24 hours or more, on a major change, and at discharge; and the 90-day North Carolina review of condition, progress and response by the health care practitioner.","inShort":["A registered nurse completes the comprehensive assessment no later than 5 calendar days after the start of care (a therapist only for therapy-only patients).","Review every medicine the patient takes and report problems to the doctor.","Update the assessment in the last 5 days of every 60 days, within 48 hours after a hospital stay of 24 hours or more, after a big change, and at discharge.","LPNs and aides do not do assessments; report any change in the patient right away.","Include the patient’s own emergency plan in the assessment."],"primaryCitation":"42 CFR §484.55","citations":["10A NCAC 13J .1102(a)","10A NCAC 13J .1102(b)","10A NCAC 13J .1103(c)","10A NCAC 13J .1105(c)","10A NCAC 13J .1107(b)","10A NCAC 13J .1107(d)","10A NCAC 13J .1202(a)","10A NCAC 13J .1202(c)","10A NCAC 13J .1402(a)(2)"],"federalCitations":["42 CFR §484.55","42 CFR §484.102(b)"],"surveyorAsks":["When did this patient’s comprehensive assessment start and when was it completed?","Show me the drug regimen review in the comprehensive assessment."],"forms":[{"ref":"NC-HH-ASM-01-A","title":"Assessment Time Frame Tracking Record"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (42 CFR §484.55)","5. Who Completes the Comprehensive Assessment","6. Content of the Comprehensive Assessment","7. The In-Home Aide Assessment","8. Updating the Comprehensive Assessment","9. The North Carolina 90-Day Review","10. Tracking and Review","11. Responsibilities","12. Records and Compliance Monitoring","13. Staff Training","14. References","15. Related Policies and Forms","16. Approval","17. Revision History"],"version":"1.0","sample":false,"pack":"nc-hha","state":"North Carolina","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}}