Hospice Care for Residents of Nursing Facilities, ICF/IID, Adult Foster Care Homes and Homes for the Aged
Sets out how the Agency cares for patients who live in a nursing facility, an intermediate care facility for individuals with intellectual disabilities, an adult foster care home, a home for the aged, an assisted living residence or a boarding home: the written agreement signed before care starts, who does what, one coordinated plan of care, the designated team member, the information the facility must have, orientation of facility staff, abuse reporting within 24 hours to the facility administrator, medications, and the Michigan Medicaid rules for room and board, bed holds, PASARR and the patient-pay amount.
- Policy number
- MI-HSP-FAC-01
- Version
- 1.0
- Main rule
- 42 CFR §418.112
- Library
- Michigan hospice · 59 policies
- Category
- Hospice care
- Sections
- 23
In short
- In a nursing facility the facility still gives room, board and daily care. We give hospice care just as we would at home.
- We never start care in a nursing facility without a signed agreement. Check with the office if you are unsure.
- Make sure the facility chart has our current plan of care, orders, medicines and on-call number, and write down every talk with facility staff.
- If facility staff or anyone else may have harmed a patient, tell the Administrator at once. The facility administrator must be told within 24 hours, and you still make your own abuse report.
- In adult foster care homes and homes for the aged, plan with the home so no one does the same job twice.
What's inside
23 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)
- 5. The Written Agreement
- 6. Who Does What
- 7. One Plan of Care
- 8. Coordination and Information the Facility Must Have
- 9. Orientation of Facility Staff
- 10. Medications in Facilities
- 11. Abuse, Neglect and Injuries of Unknown Source
- 12. Michigan Medicaid Residents of Nursing Facilities
- 13. Adult Foster Care Homes, Homes for the Aged, Assisted Living and Boarding Homes
- 14. Patients Enrolled in MI Choice
- 15. Death, Transfer and Bereavement
- 16. Responsibilities
- 17. Records and Compliance Monitoring
- 18. Staff Training
- 19. References
- 20. Related Policies and Forms
- 21. Approval
- 22. Revision History
An inspector may ask
- Show me your written agreement with this nursing facility. Who signed it, and was it signed before you admitted your first patient there?
- Who is the designated team member for this resident, and how do you and the facility communicate 24 hours a day?
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