Comprehensive Assessment and Reassessment
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.
About this policy
- Policy number
- LA-HC-ADM-02
- Version
- 1.0
- Main rule
- LAC 48:I.5039.B
- Library
- Louisiana home care · 50 policies
- Category
- Service delivery
- Sections
- 21
In short
- 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.
What's inside
21 sections. The full text comes with the One-time Policy Pack.
- 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
An inspector may ask
- 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?
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