Section 1418.1 Of Chapter 2.4. Quality Of Long-term Health Facilities From California Health And Safety Code >> Division 2. >> Chapter 2.4.
1418.1
. (a) Any person receiving respite care services shall be
permitted to bring medications to the skilled nursing facility or
intermediate care facility if the contents have been examined and
positively identified upon the patient's admission to the facility by
the patient's personal physician and surgeon or a pharmacist
retained by the facility.
(b) A skilled nursing facility or intermediate care facility
providing respite care services shall not be required to afford a
person receiving respite care services a bedhold when the person is
transferred to a general acute care hospital, as defined in Section
1250.
(c) A skilled nursing facility or intermediate care facility
providing respite care services shall permit the personal physician
and surgeon of a person receiving respite care services to issue
advance orders for care and treatment for a period not to exceed 90
days from the date of admission of the person, based on the person's
medical history, diagnosis, and physical assessment conducted upon
admission. The skilled nursing facility or intermediate care facility
may readmit the person for respite care services on the basis of the
advance orders for care and treatment, unless the personal physician
and surgeon of the person indicates that there has been a
significant change in the person's medical condition. These advance
orders shall only be used by the skilled nursing or intermediate care
facility during periods in which the person is receiving respite
care services.
(d) A skilled nursing facility or intermediate care facility
providing respite care services may implement an abbreviated resident
assessment and care planning procedure for persons admitted for
respite care services consistent with the facility's obligation to
protect the health and safety of residents and the general public.
The abbreviated resident assessment and care planning procedure shall
address the necessary care services required by the person admitted
for respite care during the length of the respite care stay. The
abbreviated resident assessment and care planning procedure documents
do not have to be updated with every readmission of the same person
to the facility for respite care services, unless the personal
physician and surgeon of the person indicates that there has been a
significant change in the person's medical condition.
(e) As used in this section, "respite care services" means service
provided to frail elderly or functionally impaired persons in a
licensed skilled nursing facility or intermediate care facility, as
defined in Section 1250, on a temporary or periodic basis to relieve
persons who are providing their care at home.
(f) As used in this section, "temporary or periodic" means a
period of time not to exceed 15 consecutive days or a total of 45
days in any one year.
(g) No more than 10 percent of a skilled nursing or intermediate
care facility's total licensed bed capacity may be used during any
one calendar year for the provision of respite care services as
defined in this section. A facility may exceed this limit with the
prior written approval of the State Department of Health Services.