(a) The nursing facility must provide or obtain radiology
and other diagnostic services to meet the needs of its residents.
The facility is responsible for the quality and timeliness of the
services.
(1) If the facility provides its own diagnostic services,
the services must meet the applicable conditions of participation
for hospitals contained in 42 CFR, §482.26.
(2) If the facility does not provide its own diagnostic
services, it must have an agreement to obtain these services from
a provider or supplier that is approved to provide these services
under Medicare.
(b) The facility must:
(1) provide or obtain radiology and other diagnostic
services only when ordered by a physician, physician assistant, or
advanced practice registered nurse in accordance with state law, including
scope of practice laws;
(2) promptly notify the ordering physician, physician
assistant, or advanced practice registered nurse of the results that
fall outside of clinical reference ranges in accordance with written
facility policies and procedures for notification of a practitioner
or per the ordering physician's orders;
(3) assist the resident in making transportation arrangements
to and from the source of service, if the resident needs assistance;
and
(4) file in the resident's clinical record signed and
dated reports of x-ray and other diagnostic services.
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Source Note: The provisions of this §554.1909 adopted to be effective May 1, 1995, 20 TexReg 2393; amended to be effective March 24, 2020, 45 TexReg 2025; transferred effective January 15, 2021, as published in the Texas Register December 11, 2020, 45 TexReg 8871 |