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202B.045 Requirements for admission -- Discharge planning.

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202B.045 Requirements for admission -- Discharge planning. (1) Admission: (a) Residents shall be admitted only upon the approval of an interdisciplinary team. The facility shall admit only persons who have a physical or mental <br>condition which requires developmental nursing services and a planned <br>program of active treatment; (b) The interdisciplinary team shall: 1. Conduct a comprehensive evaluation of the individual, not more than <br>three (3) months before admission, covering physical, emotional, social, <br>and cognitive factors; and 2. Prior to admission define the need for service without regard to <br>availability of those services. The team shall review all available and <br>applicable programs of care, treatment, and training and record its <br>findings; (c) If admission is not the best plan but the individual must be admitted nevertheless, the facility shall clearly acknowledge that the admission is <br>inappropriate and initiate plans to actively explore alternatives; (d) Before admission, the resident and a responsible member of his family or guardian shall be informed in writing of the established policies of the facility <br>and fees, reimbursement, visitation rights during serious illness, visiting <br>hours, type of diets offered, and services offered; and (e) The facility shall provide and maintain a system for identifying each resident's personal property and facilities for safekeeping of his declared valuables. Each <br>resident's clothing and other property shall be reserved for the resident's own <br>use. (2) Discharge planning. Prior to discharge the facility shall have a postinstitutional plan which identifies the residential setting and support services which would enable the <br>resident to live in a less restrictive alternative to the current setting. Before a <br>resident is released, the facility shall: <br>(a) Offer counseling to parents or guardians who request the release of a resident concerning the advantages and disadvantages of the release; (b) Plan for release of the resident, to assure that appropriate services are available in the resident's new environment, including protective supervision <br>and other follow-up services; and (c) Prepare and place in the resident's record a summary of findings, progress, and plans. Effective: July 13, 1990 <br>History: Amended 1990 Ky. Acts ch. 147, sec. 8, effective July 13, 1990. -- Created 1986 Ky. Acts ch. 79, sec. 4, effective March 6, 1986.