Hospice Care for Residents of Nursing Facilities and Other Residential Settings
Sets out how the Agency cares for patients who live in nursing facilities and other residential settings: written agreements only with appropriately licensed facilities, a coordinated single plan of care that shows who does what, a hospice registered nurse designated to coordinate with each facility, hospice services at the same level as in a private home, education of facility staff on the four topics Missouri requires (documented even when the facility declines), communication and notification duties, abuse reporting for facility residents, and MO HealthNet room and board payments.
- Policy number
- MO-HSP-FAC-01
- Version
- 1.0
- Main rule
- 19 CSR 30-35.010(2)(L)
- Library
- Missouri hospice · 59 policies
- Category
- Hospice care
- Sections
- 22
In short
- A nursing home can be the patient's home. Give the same hospice care there as in a private home.
- Make sure the facility chart has the current hospice plan of care, and that it shows who does what.
- The designated hospice nurse is the facility's contact. Give the facility the after-hours number.
- Offer facility staff education on hospice, and write down what was given or declined.
- If you suspect a resident is abused or neglected, report it to the State at once and tell the Administrator.
What's inside
22 sections. The full text comes with the One-time Policy Pack.
- Terms of Reference
- 1. Purpose
- 2. Scope
- 3. Definitions
- 4. Policy Statement (19 CSR 30-35.010(2)(L))
- 5. Before Serving Any Resident of a Facility
- 6. What the Facility Agreement Contains
- 7. The Coordinated Single Plan of Care
- 8. The Designated Hospice Registered Nurse
- 9. Information the Facility Receives
- 10. Hospice Services at the Same Level as at Home
- 11. Education of Facility Staff
- 12. Abuse, Neglect and Misappropriation in a Facility
- 13. Room and Board, MO HealthNet and Billing
- 14. Bereavement and Facility Staff
- 15. Responsibilities
- 16. Records and Compliance Monitoring
- 17. Staff Training
- 18. References
- 19. Related Policies and Forms
- 20. Approval
- 21. Revision History
An inspector may ask
- Show me your agreement with this nursing facility. When did you check that the facility is licensed?
- Show me the coordinated plan of care in the facility chart. Where does it say which services the hospice provides and which the facility provides?
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