An April 7 CMS update outlined minimum regulatory requirements that providers must restore to protect residents’ health and safety.
Emergency Declaration Blanket Waivers ending May 7, 2022 include: Physician Visits and Delegation of Tasks, Clinical Records, Resident Groups, Quality Assurance and Performance Improvement Programs, and Discharge Planning.
Emergency Declaration Blanket Waivers ending June 7, 2022 include:
Training and Certification of Nurse Aides mandating that a skilled nursing facility may not employ anyone for longer than four months unless they meet the training and certification requirements under CFR §483.35(d).
In-Service Training requiring a nursing assistant to receive at least 12 hours of in-service training annually under 42 CFR §483.95(g)(1).
Update to COVID-19 Emergency Declaration Blanket Waivers
Long term care facilities must develop and implement a baseline care plan for each resident within 48 hours of admission.
The guidelines state the 48 hour baseline care plan must include “the instructions needed to provide effective and person-centered care of the resident that meet professional standards of quality care,” including, but not limited to: initial goals based on admission orders, physician orders, dietary orders, therapy services, social services, and PASARR recommendation, if applicable.
According to the regulations, facilities may develop a comprehensive care plan in place of the baseline care plan if the comprehensive care plan meets all of the requirements for the baseline care plan outlined in the surveyor guidelines.
In order to assure all of the requirements of the guidelines are met, LTCS Books recommends that the facility develops and implements a comprehensive care plan within 48 hours of admission.
Baseline Care Plan Regulations
Complete Nursing Care Plans for Long Term Care
CMS Updated Surveyor Guidelines for Long Term Care Faciities