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TITLE 40SOCIAL SERVICES AND ASSISTANCE
PART 1DEPARTMENT OF AGING AND DISABILITY SERVICES
CHAPTER 90INTERMEDIATE CARE FACILITIES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY OR RELATED CONDITIONS
SUBCHAPTER JRESPITE CARE
RULE §90.283Plan of Care

(a) The facility and the person arranging the care must agree on the plan of care and the plan must be filed at the facility before the facility admits the person for the care.

(b) The plan of care must be signed by:

  (1) a licensed physician if the person for whom the care is arranged need medical care or treatment; or

  (2) the person arranging for the respite care if medical care or treatment is not needed.

(c) The facility may keep an agreed plan of care for a person for not longer than six months from the date on which it is received. After each admission, the facility shall review and update the plan of care. During that period, the facility may admit the person as frequently as is needed and as accommodations are available.

(d) The clinical record of each respite care resident must contain:

  (1) general identifying information necessary to care for the resident and maintain his/her clinical record;

  (2) resident assessment according to facility policy and care plan according to §90.283 of this title (relating to Plan of Care);

  (3) progress notes or flow sheets which document care/services;

  (4) reports of diagnostic or lab studies done during resident stay;

  (5) any physician's orders given during resident stay; and

  (6) discharge and readmission information based on facility policy for respite care services.


Source Note: The provisions of this §90.283 adopted to be effective August 31, 1993, 18 TexReg 2557; transferred effective September 1, 1993, as published in the Texas Register September 3, 1993, 18 TexReg 5885; amended to be effective May 1, 1995, 20 TexReg 1659; amended to be effective May 1, 1998, 23 TexReg 4060.

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