CMS Manual System - Louisiana Department of Health and Hospitals

Are physicians‘ orders carried out, unless otherwise indicated by an advanced
directive?
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F282
§483.20(k)(3)(ii) Be provided by qualified persons in accordance with each
resident’s written plan of care.
Interpretive Guidelines §483.20(k)(3)(ii):
If you find problems with quality of care, quality of life, or resident rights, are these
problems attributable to the qualifications of the facility staff, or lack of, inadequate or
incorrect implementation of the care plan?
Probes §483.20(k)(3)(ii):
Can direct care-giving staff describe the care, services, and expected outcomes
of the care they provide; have a general knowledge of the care and services
being provided by other therapists; have an understanding of the expected
outcomes of this care, and understand the relationship of these expected
outcomes to the care they provide?
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F283
§483.20(l) Discharge Summary
When the facility anticipates discharge a resident must have a discharge summary
that includes:
(1) A recapitulation of the resident’s stay;
(2) A final summary of the resident’s status to include items in paragraph (b)(2) of
this section, at the time of the discharge that is available for release to authorized
persons and agencies, with the consent of the resident or legal representative; and
Intent §483.20(l):
To ensure appropriate discharge planning and communication of necessary information to
the continuing care provider.
Interpretive Guidelines §483.20(l):
―Anticipates‖ means that the discharge was not an emergency discharge (e.g.,
hospitalization for an acute condition) or due to the resident‘s death.