§ 39-3509 — PLAN OF SERVICE

(1) The care provider shall ensure the resident or resident representative participates in the development of a written negotiated plan of service that provides for coordination of services and for guidance to the care provider in delivering services to the resident. Upon completion, the plan of service shall clearly identify the resident and describe the services to be provided to the resident and how such services are to be delivered.
(a) The plan of service shall be based on at least the following:
(i) The resident’s desires, to the greatest extent reasonably possible;
(ii) The resident’s assessment;
(iii) Information from the resident’s health care professionals, including current orders and the results of the resident’s most recent history and physical examination;
(iv) The resident’s supportive services; and
(v) The resident’s needs in the following areas:
1. Supervision;
2. Assistance with activities of daily living and instrumental activities of daily living;
3. Assistance with medications; and
4. Behavior management.
(b) The plan of service shall include:
(i) Identification of each care need;
(ii) A care plan for each need, describing how the care provider is to deliver service; and
(iii) Frequency of delivery for each service.
(2) The plan of service shall be completed shortly after the resident’s admission into the certified family home. The plan of service shall be reviewed and, if necessary, updated on an annual basis or upon any significant change in the resident’s condition, whichever occurs first.
(3) Upon initial completion and any subsequent update, the care provider and the resident or resident representative shall sign and date the plan of service.

Legislative History

[39-3509, added 2024, ch. 63, sec. 15, p. 319.]