Each patient or resident shall receive nursing care or personal and custodial care and supervision based on individual needs. Patients and residents shall be encouraged to be active, to develop techniques for self-help, and to develop hobbies and interests. Nursing home patients shall be up and out of bed as much as possible unless the attending physician states in writing on the patient's medical record that the patient must remain in bed.
Criteria for determining adequate and proper care shall include items A to H.
Evidence of adequate care and kind and considerate treatment at all times. Privacy shall be respected and safeguarded.
Clean skin and freedom from offensive odors. A minimum of a complete tub bath or shower once a week shall be provided for all ambulatory patients and for all residents with adequate assistance or supervision as needed.
A minimum of monthly shampoos and assistance with daily hair grooming as needed.
Assistance with or supervision of shaving of men patients or residents as necessary to keep them clean and well-groomed.
Assistance as needed with oral hygiene to keep the mouth, teeth, or dentures clean. Measures shall be used to prevent dry, cracked lips.
Proper care and attention to hands and feet. Fingernails and toenails shall be kept clean and trimmed.
Clean linen. Bed linen shall be changed weekly, or more often as needed. Beds shall be made daily and straightened as necessary.
Clean clothing and a neat appearance. Patients and residents shall be dressed during the day whenever possible.
17 SR 1279
October 2, 2013