| (a) Each resident must receive, and the facility must
provide, the necessary care and services to attain or maintain the
highest practicable, physical, mental, and psychosocial well-being
consistent with the resident's comprehensive assessment and care plan.
(1) Based on the comprehensive assessment of a resident
and consistent with the resident's needs and choices, the facility
must provide the necessary care and services to ensure that a resident's
abilities in activities of daily living do not diminish unless circumstances
of the resident's clinical condition demonstrate that such diminution
was unavoidable.
(2) This includes the facility ensuring that:
(A) a resident is given the appropriate treatment
and services to maintain or improve the ability to carry out the activities
of daily living, including those specified in subsection (b) of this
section;
(B) a resident who is unable to carry out activities
of daily living receives the necessary services to maintain good nutrition,
grooming, and personal and oral hygiene; and
(C) personnel provide basic life support, including
CPR, to a resident requiring such emergency care prior to the arrival
of emergency medical personnel and subject to related physician orders
and the resident's advance directives.
(b) The facility must provide care and services in
accordance with subsection (a) of this section for the following
activities of daily living:
(1) hygiene - bathing, dressing, grooming, and oral
care;
(2) mobility - transfer and ambulation, including walking;
(3) elimination - toileting;
(4) dining - eating including meals and snacks; and
(5) communication - speech, language, and other functional
communication systems.
(c) If a child is admitted to a facility, care must
be provided to meet the child's unique medical and developmental needs.
(d) Pediatric residents should be matched with roommates
of similar age and developmental levels.
|
| Source Note: The provisions of this §554.701 adopted 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 |
