Hospice Care for Residents of Nursing Facilities, ICF/IIDs and Residential Care Facilities
Sets out how the Agency cares for patients who live in skilled nursing facilities, nursing facilities, intermediate care facilities for individuals with intellectual disabilities and residential care facilities for the elderly. California hospice duties (two-hour in-person response, caseloads, assessments and plan of care) apply there in full, because a facility is the patient's residence. If the Agency is Medicare-certified, it signs the written agreement 42 CFR §418.112 requires before serving a nursing facility resident. In a residential care facility for the elderly, care is given only if the facility holds a CDSS hospice care waiver and an agreed hospice care plan is in place.
- Policy number
- CA-HSP-FAC-01
- Version
- 1.0
- Main rule
- 42 CFR §418.112
- Library
- California hospice · 60 policies
- Category
- Hospice care
- Sections
- 20
In short
- Patients in nursing homes and residential care facilities get the same hospice care as at home, including a nurse in person within two hours.
- Each facility patient has one team member who coordinates with the facility.
- Give the facility the current plan of care, orders, medication information and the 24-hour number, and keep them up to date.
- In a residential care facility for the elderly, care starts only after the hospice care plan is agreed and facility staff are trained.
- Suspected abuse in a facility: call law enforcement within two hours and tell the Administrator.
What's inside
20 sections. The full text comes with the One-time Policy Pack.
- Terms of Reference
- 1. Purpose
- 2. Scope
- 3. Definitions
- 4. Policy Statement (42 CFR §418.112; 22 CCR §74800(a)(51))
- 5. Before Accepting a Facility Resident
- 6. The Written Agreement With a SNF/NF or ICF/IID (42 CFR §418.112(c))
- 7. Plan of Care and Coordination (42 CFR §418.112(b), (d)-(e); 22 CCR §74868)
- 8. Information Given to the Facility (42 CFR §418.112(e)(3))
- 9. Residential Care Facilities for the Elderly (22 CCR §87633)
- 10. Orientation of Facility Staff (42 CFR §418.112(f))
- 11. Bereavement
- 12. Abuse and Alleged Violations in Facilities
- 13. Responsibilities
- 14. Records and Compliance Monitoring
- 15. Staff Training
- 16. References
- 17. Related Policies and Forms
- 18. Approval
- 19. Revision History
An inspector may ask
- Show me your written agreement with this nursing facility. Does it have every required provision?
- Who on the team coordinates care with the facility for this patient, and how do you communicate?
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