Last week we reviewed the California RCFE requirements for updating resident appraisals. This week we turn our attention to the Physician’s Report and Service Plan.
RCFE Regulation 87458 states that you must “obtain and keep on file, documentation of a medical assessment, signed by a physician, made within the last year.” It goes on to say that you must “obtain an updated medical assessment when required by the department.” So for your typical RCFE resident, regulations do not require that you update the physician’s report on a regular basis.
However, if the resident has dementia, Regulation 87705 requires that the physician’s report (or medical assessment) be updated at least annually.
Of course you would also obtain an updated medical assessment if there is a change in condition, or if your LPA requests it.
The requirements to maintain a service plan type document (although the term “service plan” is not used) can be found in Regulation 87467. In the regulation it states that you must meet with the resident and appropriate individuals to review and revise the plan “when there is a significant change in the resident’s condition, or once every 12 months, whichever occurs first.” However, as we discussed last week regarding appraisals, many providers choose to review service plans more often, such as twice a year or quarterly.