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Guest Tinki

Here is the .NET CHALLENGE! Find the regulations for Nursing Homes for each state! We would all be alot happier and healthier if we know this information. Plus we would be helping the next generation with a piece of mind!

I will get Texas ready!

 

Karen

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Guest Tinki

Texas Administrative Code Next Rule>>

 

TITLE 40

SOCIAL SERVICES AND ASSISTANCE

PART 1

DEPARTMENT OF AGING AND DISABILITY SERVICES

CHAPTER 19

NURSING FACILITY REQUIREMENTS FOR LICENSURE AND MEDICAID CERTIFICATION

SUBCHAPTER H

QUALITY OF LIFE

RULE §19.702 Activities

 

(a) The facility must provide for an ongoing program of activities designed to meet, in accordance with the comprehensive assessment, the interest and the physical, mental, and psychosocial well-being of each resident.

(B) The activities program must be directed by a qualified professional who:

(1) is a qualified therapeutic recreation specialist or an activities professional who is:

(A) licensed or registered, if applicable, by the state in which practicing; and

(B) eligible for certification as a therapeutic recreation specialist, therapeutic recreation assistant, or an activities professional by a recognized accrediting body, such as the National Council for Therapeutic Recreation Certification, on October 1, 1990; or

(2) has two years of experience in a social or recreational program within the last five years, one of which was full-time in a patient activities program in a health care setting; or

(3) is a qualified occupational therapist or occupational therapy assistant; or

(4) has completed an activity director training course approved by any state. The Texas Department of Human Services (DHS) does not review or approve any courses. DHS accepts training courses approved by a recognized credentialing body, such as the National Certification Council for Activity Professionals, the National Therapeutic Recreation Society, or the Consortium for Therapeutic Recreation/Activities Certification, Inc.

© Activity directors must complete eight hours of approved continuing education or equivalent continuing education units each year. Approval bodies include organizations or associations recognized as such by certified therapeutic recreation specialists or certified activity professionals or registered occupational therapists.

(d) The facility must ensure that activities assessment and care planning are completed and reviewed or updated as provided in §19.801 and §19.802 of this title (relating to Resident Assessment and Comprehensive Care Plans). If indicated by the Resident Assessment Instrument (RAI) and/or the resident's need, an in-depth activities assessment is required.

(e) Toys and recreational equipment for pediatric residents must be appropriate for the size, age, and developmental level of the residents.

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Guest KathyH

Here are New Yorks current Regulations

 

NYS Regulations for Quality of Life And Activities

 

415.5 Quality of life. The facility shall care for its residents in a manner and in an environment that promotes maintenance or enhancement of each resident's quality of life.

 

(a) Dignity. The facility shall promote care for residents in a manner and in an environment that maintains or enhances each resident's dignity and respect in full recognition of his or her individuality.

 

(B) Self-determination and participation. The resident shall have the right to:(1) choose activities, schedules, and health care consistent with his or her interests, assessments and plans of care;(2) interact with members of the community both inside and outside the facility; and (3) make choices about aspects of his or her life in the facility that are significant to the resident.

 

© Participation in resident and family groups.(1) A resident shall have the right to organize and participate in resident groups in the facility;(2) A resident's family shall have the right to meet in the facility with the families of other residents in the facility;(3) The facility shall provide a resident or family group, if one exists, with private space;(4) Staff or visitors shall be allowed to attend meetings at the group's invitation;(5) The facility shall provide a designated staff person responsible for providing assistance and responding to written requests that result from group meetings;(6) When a resident or family group exists, the facility shall listen to the views and act upon the grievances and recommendations of residents and families concerning proposed policy and operational decisions affecting resident care and life in the facility.

 

(d) Participation in other activities.(1) A resident shall have the right to participate in social, religious, and community activities that do not interfere with the rights of other residents in the facility.(2) The facility shall arrange for opportunities for religious worship and counseling for any residents requesting such services.

 

(e) Accommodation of needs. A resident shall have the right to:(1) reside and receive services in the facility with reasonable accommodation of individual needs and preferences, except when the health or safety of the individual or other residents would be endangered; and (2) receive notice before the resident's room or roommate in the facility is changed.

 

(f) Activities.

(1) The facility shall provide for an ongoing program of activities designed to meet, in accordance with the comprehensive resident assessment, the interests and the physical, mental and psychosocial well-being of each resident. The activities program shall:

(i) encourage the resident's voluntary choice of activities and participation; and (ii) promote and maintain the resident's sense of usefulness to self and others, make his or her life more meaningful, stimulate and support the desire to use his or her physical and mental capabilities to the fullest extent and enable the resident to maintain a sense of usefulness and self-respect.

(2) The activities program shall be directed by a qualified professional who:

(i) is a qualified therapeutic recreation specialist who is eligible for certification as a therapeutic recreation specialist by a recognized\ accrediting body on or after August 1, 1989; or

(ii) has 2 years of experience in an age-appropriate social or recreational program within the last5 years, 1 of which was full-time in a patient or resident activities program in a health care setting; or

(iii) is a qualified occupational therapist or occupational therapy assistant.

 

(3) The activities program director shall be responsible to the administrator or his or her designee for administration and organization of the activities program and shall:

(i) assist in the selection and evaluation of activities program staff and volunteers; (ii) assign duties and supervise all activities staff and assigned volunteers;

(iii) ascertain, initially from the resident's attending physician, and on an ongoing basis from other appropriate professional staff, which residents are not permitted for specific documented medical reasons, to participate in certain activities;

(iv) develop and prepare with the resident and designated representative, as appropriate, a written plan for individual, group and independent activities in accordance with his or her needs, interests and capabilities, and in recognition of his or her mental and physical needs and interests, as well as education and experiences.

(v) incorporate the activities into the resident's interdisciplinary care plan;

(vi) periodically, and at least quarterly, review with the resident, designated representative and staff, as appropriate his or her activities program participation and revise the plan as necessary;

(vii) coordinate and incorporate the activities program with the resident's schedule of other services through discussions with the interdisciplinary care team;

(viii) develop a monthly activities schedule based upon individual and group needs, interests and capabilities considering the special needs of residents including but not limited to dementias, physical handicaps, visual, hearing and speech deficiencies and wheelchair or bed restrictions;

(ix) post the current monthly activities schedule where it is accessible to residents and staff and can be easily read and provide a copy to residents upon request; and

(x) include in the resident's clinical record a quarterly assessment of the resident's degree of participation in, response to and benefit from the activities program.

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Guest Tinki

What do you not get - the new federal regs will not affect the state regulations! So it would be nice to know all the various state regulations so that when a new AD comes onto the site they can find all the regulations from there state!

 

PCB04 - I discussed this question with a friend and she stated:

 

"I attended a session at the THCA Act. Prof.'s Conference last week in Bryan that was led by two surveyors from CMS. They indicated that there are no changes to F249 which lists the qualifications for Activity Directors. The feds have always left it up to each individual state to define who is qualified and to determine the content and length of course for AD trainings. There are no current changes in this area. "

 

Hope that helps!

Karen

Edited by Tinki

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