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Hospice Care for Residents of Nursing Facilities, ICF/IID and Residential Care Facilities

Sets how the Agency provides hospice care to residents of nursing facilities (SNF/NF), intermediate care facilities for individuals with intellectual disabilities (ICF/IID) and residential care facilities: the written agreement signed before services begin with the content 42 CFR §418.112(c) and OAC 5160-56-04(H) require, the Agency's professional management of the resident's hospice care, the shared plan of care, coordination and the information given to the facility, orientation of facility staff, reporting of alleged violations to the facility administrator within 24 hours, and Ohio Medicaid room and board payment.

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About this policy
Policy number
OH-HSP-FAC-01
Version
1.0
Main rule
42 CFR §418.112
Library
Ohio hospice · 60 policies
Category
Hospice care
Sections
20

In short

  • We serve nursing facility residents only after a written agreement with the facility is signed.
  • Hospice care in a facility is the same as in the patient's own home; the Agency manages the hospice care.
  • Give the facility the plan of care, orders, medication information and our 24-hour number.
  • Any plan of care change must be approved by the Agency before the facility carries it out.
  • Tell the Administrator at once about suspected abuse by facility staff; the facility administrator must be told within 24 hours.

What's inside

20 sections. The full text comes with the One-time Policy Pack.

Full text with a package
  • Terms of Reference
  • 1. Purpose
  • 2. Scope
  • 3. Definitions
  • 4. Policy Statement (42 CFR §418.112; OAC 5160-56-04(H))
  • 5. Before Serving a Facility's Residents
  • 6. What the Agreement Must Contain
  • 7. The Shared Plan of Care
  • 8. Coordination and Information Given to the Facility
  • 9. Orientation of Facility Staff
  • 10. Protecting Residents
  • 11. Residential Care Facilities (Assisted Living)
  • 12. Ohio Medicaid Room and Board
  • 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 the written agreement with this nursing facility. Was it signed before you began serving its residents?
  • Who on the interdisciplinary team coordinates this resident's care with the facility, and how do you communicate?

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