Hospice Care for Residents of a Nursing Facility or ICF/IID
Sets out how the Agency cares for patients who live in a skilled nursing facility, nursing facility or ICF/IID: the written agreement signed before any service, professional management of the hospice care, one shared plan of care, a designated interdisciplinary group member for coordination, the information packet given to the facility, orientation of facility staff, the 24-hour report of alleged violations to the facility administrator, and the Medical Assistance room and board rules.
About this policy
- Policy number
- PA-HSP-FAC-01
- Version
- 1.0
- Main rule
- 42 CFR §418.112
- Library
- Pennsylvania hospice · 60 policies
- Category
- Hospice care
- Sections
- 20
In short
- We do not start care in a nursing facility until the written agreement with that facility is signed.
- One shared plan of care says who does what. Changes are discussed with the facility and approved by the hospice first.
- Each resident has a named hospice team member who coordinates with the facility. Keep the facility's information packet up to date.
- Leave a visit summary in the facility record at each visit.
- If you learn of possible abuse by facility staff or anyone else, tell the Administrator at once. We must tell the facility administrator within 24 hours, and you must still make your own protective services report.
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)
- 5. The Written Agreement
- 6. Plan of Care
- 7. Coordination of Services
- 8. Information Given to the Facility
- 9. Orientation and Training of Facility Staff
- 10. Alleged Violations and Abuse Reporting
- 11. Bereavement
- 12. Medical Assistance Residents
- 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 agreement with this nursing facility. When was it signed, and when did you first visit a resident there?
- Who on the team coordinates care for this resident with the facility?
See Cura Core with your agency's name on it.
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