50 likes | 197 Views
Connecticut NF Level of Care. Criteria for Admission and Continued Stay. Criterion A: Continuous nursing services. Presence of uncontrolled and/or unstable and/or chronic condition requiring continuous skilled nursing services
E N D
Connecticut NF Level of Care Criteria for Admission and Continued Stay
Criterion A: Continuous nursing services Presence of uncontrolled and/or unstable and/or chronic condition requiring continuous skilled nursing services as evidenced by diagnosis(es), therapies, services, observation requirements, and/or frequency.
Criterion B: Substantial daily assistance Chronic condition(s) requiring substantial assistance with personal care on a daily basis.
Criterion B, Substantial daily assistance Operationalized: Substantial daily personal care is evidenced by one or more of the following: • Chronic condition + supervision ≥ 3 ADLs daily + need factor • Chronic condition + hands-on ≥ 3 ADLs • Chronic condition + hands-on ≥ 2 ADLs daily + need factor • Dementiawhich, supported with corroborative evidence, has resulted in cognitive deterioration to the extent that a structured, professionally staffed environment is needed for daily monitoring, evaluating and/or accommodating to the individual’s changing needs
CT LOC Need Factors: Overview • Rehabilitative Services 5X WeekPT, OT, ST, RT. The individual has restorative potential. Delivered at least five times a week • Cognitive Need:Requires presence of a caregiver daily for supervision to prevent harm due to a cognitive impairment • Behavioral Need:Requires the presence of another person at least daily for supervision to prevent harm • Medication supports:Requires the assistance for administration of physician ordered daily medications. Includes supports beyond set ups