Each resident must receive and the facility must provide the
necessary behavioral health care and services to attain or maintain
the highest practicable physical, mental, and psychosocial well-being,
in accordance with the comprehensive assessment and care plan.
(1) The facility must have sufficient staff who provide
direct services to a resident with the appropriate competencies and
skills sets to provide nursing and related services to assure resident
safety and attain or maintain the highest practicable physical, mental,
and psychosocial well-being of each resident. This is determined by
resident assessments and individual comprehensive care plans and considering
the number, acuity and diagnoses of the facility's resident population
in accordance with §19.1931 of this chapter (relating to Facility
Assessment). These competencies and skills sets include knowledge
of and appropriate training and supervision for:
(A) caring for a resident with mental and psychosocial
disorders, as well as a resident with a history of trauma or post-traumatic
stress disorder, that have been identified in the facility assessment
conducted pursuant to §19.1931 of this chapter; and
(B) implementing non-pharmacological interventions.
(2) Based on the comprehensive assessment of a resident,
the facility must ensure that:
(A) a resident who displays or is diagnosed with mental
disorder or psychosocial adjustment difficulty, or who has a history
of trauma or post-traumatic stress disorder, receives appropriate
treatment and services to correct the assessed problem or to attain
the highest practicable mental and psychosocial well-being;
(B) a resident whose assessment did not reveal or who
does not have a diagnosis of a mental or psychosocial adjustment difficulty
or a documented history of trauma or post-traumatic stress disorder
does not display a pattern of decreased social interaction or increased
withdrawn, angry, or depressive behaviors, unless the resident's clinical
condition demonstrates that development of such a pattern was unavoidable;
and
(C) a resident who displays or is diagnosed with dementia,
receives the appropriate treatment and services to attain or maintain
the resident's highest practicable physical, mental, and psychosocial
well-being.
(3) If rehabilitative services such as physical therapy,
speech-language pathology, occupational therapy, and rehabilitative
services for mental disorders and intellectual disability, are required
in the resident's comprehensive care plan, the facility must:
(A) provide the required services, including specialized
rehabilitation services as required in §19.802 of this chapter
(relating to Comprehensive Person-Centered Care Planning).
(B) obtain the required services from an outside resource
in accordance with §19.1906 of this chapter (relating to Use
of Outside Resources), from a Medicare or Medicaid provider of specialized
rehabilitative services.
(4) The facility must provide medically-related social
services to attain or maintain the highest practicable physical, mental
and psychosocial well-being of each resident.
|
| Source Note: The provisions of this §554.904 adopted to be effective March 24, 2020, 45 TexReg 2020; transferred effective January 15, 2021, as published in the Texas Register December 11, 2020, 45 TexReg 8871 |
