Section 300.6047  Medical Care Policies for Facilities Subject to Subpart T

a)         The facility shall have a written program of medical services, approved in writing by a physician, that reflects the philosophy of care provided, the policies relating to this philosophy, and the procedures for implementation of the services.  The program shall emphasize the use of the resident's personal physician and arrangements, as needed, to effect prompt transfer to other facilities.  The written program of medical services shall be followed in the operation of the facility.

b)         Each resident admitted shall have a physical examination within five days prior to admission or within 14 days after admission.  The examination report shall include at a minimum each of the following:

1)         An evaluation of the resident's condition, including height, weight and nutritional status; diagnoses; plan of treatment; treatment and medication orders; permission for participation in activity programs as appropriate; an assessment of sensory and physical impairments; and a medical history, including history of allergies, surgeries, medications, and other significant medical conditions;

2)         Documentation of the presence or absence of communicable diseases, such as tuberculosis infection, in accordance with Sections 300.1020 and 300.1025 of this Part; and

3)         Documentation of the medical needs and plans for meeting those needs, including:

A)        an assessment of proper treatment and assistive devices to maintain vision and hearing abilities; and

B)        an assessment for specialized rehabilitative services, such as physical therapy, speech-language pathology and occupational therapy.

c)         Each resident shall have an oral screening by a dentist or a nurse within 30 days after admission and annually thereafter.

d)         The facility shall notify the resident's physician of any accident, injury, or significant change in a resident's condition that threatens the health, safety or welfare of a resident. The facility shall obtain and record the physician's plan of care or treatment of such accident, injury or change in condition at the time of notification.

e)         The facility shall have a written agreement with one or more hospitals or other providers, as necessary, that indicates that the hospital, hospitals, or providers will provide diagnostic, emergency and routine acute care hospital services.  (This requirement shall be waived when the facility can document to the satisfaction of the Department that by reason of remote location or refusal of local hospitals to enter an agreement, it is unable to effect such an agreement.)

f)         At the time of an accident or injury, immediate treatment shall be provided by personnel trained in first aid procedures.

(Source:  Added at 26 Ill. Reg. 3113, effective February 15, 2002)