§ 2600.227. Development of the support plan.
(a) A resident requiring personal care services shall have a written support plan developed and implemented within 30 days of admission to the home. The support plan shall be documented on the Department’s support plan form.
(b) A home may use its own support plan form if it includes the same information as the Department’s support plan form.
(c) The support plan shall be revised within 30 days upon completion of the annual assessment or upon changes in the resident’s needs as indicated on the current assessment.
(d) Each home shall document in the resident’s support plan the medical, dental, vision, hearing, mental health or other behavioral care services that will be made available to the resident, or referrals for the resident to outside services if the resident’s physician, physician’s assistant or certified registered nurse practitioner, determine the necessity of these services. This requirement does not require a home to pay for the cost of these medical and behavioral care services.
(e) The resident’s support plan must document the ability of the resident to self-administer medications or the need for medication reminders or medication administration.
(f) A resident may participate in the development and implementation of the support plan. A resident may include a designated person in making decisions about services.
(g) Individuals who participate in the development of the support plan shall sign and date the support plan.
(h) If a resident or designated person is unable or chooses not to sign the support plan, a notation of inability or refusal to sign shall be documented.
(i) The support plan shall be accessible by direct care staff persons at all times.
(j) The home shall give a copy of the support plan to the resident and the resident’s designated person upon request.
Cross References This section cited in 55 Pa. Code § 2600.181 (relating to self-administration).
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