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4668.0815 EVALUATION AND SERVICE PLAN.

Subpart 1.

Evaluation; documentation.

No later than two weeks after the initiation of assisted living home care services to a client, a registered nurse must complete an individualized evaluation of the client's needs and must establish, with the client or the client's responsible person, a suitable and up-to-date service plan for providing assisted living home care services in accordance with accepted standards of practice for professional nursing. The service plan must be in writing and include a signature or other authentication by the class F home care provider licensee and by the client or the client's responsible person documenting agreement on the services to be provided.

Subp. 2.

Reevaluation.

A registered nurse must review and revise a client's evaluation and service plan at least annually or more frequently when there is a change in the client's condition that requires a change in services.

Subp. 3.

Modifications.

A modification of the service plan must be in writing and agreed to by the client or the client's responsible person before the modification is initiated. A modification must be authenticated by the client or the client's responsible person and must be entered into the client's record no later than two weeks after the modification is initiated.

Subp. 4.

Contents of service plan.

The service plan required under subpart 1 must include:

A.

a description of the assisted living home care service or services to be provided and the frequency of each service, according to the individualized evaluation required under subpart 1;

B.

the identification of the persons or categories of persons who are to provide the services;

C.

the schedule or frequency of sessions of supervision or monitoring required by law, rule, or the client's condition for the services or the persons providing those services, if any;

D.

the fees for each service; and

E.

a plan for contingency action that includes:

(1)

the action to be taken by the class F home care provider licensee, client, and responsible person if scheduled services cannot be provided;

(2)

the method for a client or responsible person to contact a representative of the class F home care provider licensee whenever staff are providing services;

(3)

the name and telephone number of the person to contact in case of an emergency or significant adverse change in the client's condition;

(4)

the method for the class F home care provider licensee to contact a responsible person of the client, if any; and

(5)

the circumstances in which emergency medical services are not to be summoned, consistent with Minnesota Statutes, chapters 145B and 145C, and declarations made by the client under those chapters.

Subp. 5.

Scheduled appointments for nonessential services.

If a class F home care provider licensee or employee of a licensee is unable, for any reason, to keep a scheduled appointment for a service that is not essential for medical or safety reasons, the licensee must:

A.

follow the procedure established in the service plan;

B.

provide a replacement person; or

C.

notify the client that the appointment will not be kept and schedule a new appointment or arrange for some other reasonable alternative.

Subp. 6.

Scheduled appointments for essential services.

If, for medical or safety reasons, a service to be provided must be completed at the scheduled time and the class F home care provider licensee or employee of a licensee is unable, for any reason, to keep the scheduled appointment, the licensee must make arrangements to complete the service through a contract with another provider or through other reasonable means.

Subp. 7.

Schedule of fines.

For a violation of the following subparts, the stated fine shall be assessed:

A.

subpart 1, $250;

B.

subpart 2, $250;

C.

subpart 3, $250;

D.

subpart 4, $50;

E.

subpart 5, $350; and

F.

subpart 6, $500.

Statutory Authority:

MS s 144A.45

History:

24 SR 141; L 2006 c 282 art 19 s 19

Published Electronically:

July 3, 2013

Official Publication of the State of Minnesota
Revisor of Statutes