The DAHS facility must provide services that include the following:
(1) Nursing services. Nursing services must include:
(A) assessing, observing, evaluation, and documenting
an individual's health condition, and instituting appropriate nursing
intervention to stabilize or improve an individual's condition or
prevent complications;
(B) ensuring that the individual plan of care appropriately
reflects the physician's orders;
(C) assisting the individual to order, maintain, or
administer prescribed medications or treatments, as indicated by physician's
orders;
(D) counseling the individual on his health need and
illness and involving significant others in the discussions of his
immediate and long-term health goals; and
(E) providing or supervising personal care services
to enable the individual to restore, maintain, or improve his ability
to perform personal care tasks. For purposes of this requirement,
personal care is defined as assistance with dressing, feeding, grooming,
bathing, toileting, transferring/ambulation, or assistance with self-administering
medication.
(2) Physical rehabilitative services. Physical rehabilitative
services must include:
(A) restorative nursing; and
(B) group and individual exercises, including range
of motion exercises.
(3) Nutrition/food service. Nutrition/food service
in DAHS facilities is provided under 4 TAC Chapter 25, Subchapter
A, concerning the Child and Adult Care Food Program (CACFP) and must
include:
(A) one hot noon meal served between the hours of 11:00
a.m. and 1:00 p.m. The meal must:
(i) be suitable in quantity and adequacy to attain
and maintain nutritional requirements, including those of an individual
with special needs. The CACFP staff monitor the adequacy of a meal
by totaling the amount of food produced and cooked by the number of
adults fed to determine if the average amount of food meet the following
food components: two ounces of meat, 1/2 cup of fruit/vegetables,
one cup of milk, and two servings of bread; and
(ii) supply 1/3 of the recommended daily allowance
for adults as recommended by the United States Department of Agriculture;
(B) special diets as required by the individual's plan
of care;
(C) a supplementary mid-morning and mid-afternoon snack;
(D) dietary counseling and nutrition education for
the individual and family; and
(E) assisting the individual with his meals if necessary.
This includes:
(i) food texture modification, including grinding meats
and mashing vegetables for an individual having trouble chewing; and
(ii) food management, including spoon feeding, bread
buttering, and milk opening for an individual with hand deformities,
paralysis, or hand tremors.
(4) Other supportive services. Other supportive services
must include:
(A) community interaction, cultural enrichment, educational
or recreational activities, and other social activities on site or
in the community in a planned program to meet an individual's social
needs and interests;
(B) providing at least three social activities per
day; and
(C) posting a monthly activity calendar at least one
week in advance.
(5) Transportation services.
(A) Transportation services must include:
(i) transportation to and from the DAHS facility; and
(ii) transportation to and from a DAHS facility approved
to provide therapies, if an individual requires specialized services
on days of attendance at the day activity and health services DAHS
facility.
(B) If the DAHS facility provides transportation for
an individual to a non-therapy medical DAHS facility, the DAHS facility
can claim the time spent in transport as part of the unit of services.
(C) If the DAHS facility does not provide transportation,
the DAHS facility must coordinate transportation with other resources.
(D) Vehicles used for transportation services must:
(i) be properly operated and maintained in accordance
with state law;
(ii) have current inspection and registration;
(iii) have proper heating and cooling systems to maintain
reasonable temperature levels inside the vehicle;
(iv) have working seatbelts for each individual unless
the vehicle was manufactured without seatbelts;
(v) have a method to secure a wheelchair to ensure
an individual's safety during transit; and
(vi) if equipped with a wheelchair lift, have a properly
operated and maintained lift.
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Source Note: The provisions of this §98.206 adopted to be effective May 1, 1999, 24 TexReg 3100; amended to be effective April 1, 2007, 32 TexReg 1749; amended to be effective November 20, 2012, 37 TexReg 9117 |