Header:
WISCONSIN ADMINISTRATIVE CODE
DEPARTMENT OF HEALTH SERVICES
CHAPTER DHS 83 COMMUNITY-BASED RESIDENTIAL FACILITIES
SUBCHAPTER V -- ADMISSION, RETENTION AND DISCHARGE
Date:
08/31/2009
Document:
DHS 83.28 Admission procedures.
(1) ASSESSMENT. The CBRF shall assess each resident before admission as required under s. DHS 83.35 (1).
(2) SERVICES AND CHARGES. Before or at the time of admission, the CBRF shall provide written information regarding services available and charges for those services as required in s. DHS 83.29 (1).
(3) ADMISSION AGREEMENT. Before or at the time of admission, the CBRF shall provide the admission agreement as required under s. DHS 83.29 (2).
(4) HEALTH SCREENING. (a) Resident health screening. 1. Within 90 days before or 7 days after admission, a physician, physician assistant, clinical nurse practitioner or a licensed registered nurse shall screen each person admitted to the CBRF for clinically apparent communicable disease, including tuberculosis, and document the results of the screening.
2. Screening for tuberculosis and all immunizations shall be conducted using centers for disease control and prevention standards.
3. The CBRF shall maintain the screening documentation in each resident's record.
(b) Respite care health screening. 1. Within 90 days before or 7 days after admission for persons in respite care who will reside in the CBRF for more than 7 days, a physician, physician assistant, clinical nurse practitioner or a licensed registered nurse shall screen each respite care person for clinically apparent communicable disease, including tuberculosis, and document the results of the screening.
2. If the person did not provide evidence of health screening required under subd. 1., prior to the second admission in a calendar year of a person in respite care, a physician, physician assistant, clinical nurse practitioner or a licensed registered nurse shall screen each respite care person for clinically apparent communicable disease, including tuberculosis, and document the results of the screening.
3. Screening for tuberculosis and all immunizations shall be conducted using centers for disease control and prevention standards.
4. The CBRF shall maintain the screening documentation for each respite care person.
(5) TEMPORARY SERVICE PLAN. Upon admission, the CBRF shall develop a temporary service plan as required under s. DHS 83.35 (2).
(6) RESIDENT RIGHTS, GRIEVANCE PROCEDURE AND HOUSE RULES. Before or at the time of admission, the CBRF shall provide and explain resident rights, the house rules of the CBRF as required under s. DHS 83.32 (2), and the grievance procedure, including written information regarding the names, addresses and telephone numbers of all resident advocacy groups serving the client groups in the facility, including the long term care ombudsman program and the protection and advocacy services of Disability Rights Wisconsin, Inc.
(7) ADVANCED DIRECTIVES. At the time of admission, the CBRF shall determine if the resident has executed an advanced directive. An advanced directive describes, in writing, the choices about treatments the resident may or may not want and about how health care decisions should be made for the resident if the resident becomes incapacitated and cannot express their wishes. A copy of the document shall be maintained in the resident record as required under s. DHS 83.42 (1) (s). A CBRF may not require an advanced directive as a condition of admission or as a condition of receiving any health care service. An advanced directive may be a living will, power of attorney for health care, or a do-not-resuscitate order under ch. 154 or 155, Stats., or other authority as recognized by the courts of this state.
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