49.498(2)(c)(c)
49.498(2)(c)1.1. A nursing facility shall conduct a comprehensive, accurate, standardized reproducible assessment of each resident’s functional capacity that:
49.498(2)(c)1.a.a. Describes the resident’s capability to perform daily life functions and significant impairments in the resident’s functional capacity.
49.498(2)(c)1.b.b. Is based on a uniform minimum data set of core elements and common definitions specified as required under 42 USC 1395i-3 (f) (6) (A).
49.498(2)(c)1.c.c. Uses an instrument which shall be specified by the department by rule.
49.498(2)(c)1.d.d. Includes identification of the resident’s medical problems.
49.498(2)(c)2.2. A registered professional nurse shall conduct or coordinate with the appropriate participation of health professionals, sign and certify the completion of an assessment under subd. 1. Each individual who completes a portion of the assessment shall sign and certify as to the accuracy of that portion of the assessment.
49.498(2)(c)3.3. No individual may willfully and knowingly certify under subd. 2. a material and false statement in an assessment.
49.498(2)(c)4.4. No individual may willfully and knowingly cause another individual to certify under subd. 2. a material and false statement in an assessment.
49.498(2)(c)5.5. If the department determines by survey of a nursing facility or otherwise that an individual has knowingly and willfully certified a false assessment under subd. 2., the department may require that individuals who are independent of the nursing facility and are approved by the department conduct and certify assessments under this paragraph.
49.498(2)(c)6.6. A nursing facility shall:
49.498(2)(c)6.a.a. Conduct an assessment under subd. 1. no later than 4 days after the admission of an individual admitted after September 30, 1990.
49.498(2)(c)6.b.b. Conduct all of the assessments under subd. 1. for a resident of the nursing facility by October 1, 1991, for a resident who resides in the facility on that date; promptly after a significant change in a resident’s physical or mental condition; and, for every resident, no less often than once every 12 months.
49.498(2)(c)6.c.c. Examine a resident no less frequently than once every 3 months and, as appropriate, revise the resident’s assessment under subd. 1. to assure the assessment’s continuing accuracy.
49.498(2)(c)7.7. The assessment conducted under subd. 1. shall be used in developing, reviewing and revising a nursing facility resident’s plan of care under par. (b).
49.498(2)(c)8.8. A nursing facility shall coordinate an assessment conducted under this paragraph with the conduct of preadmission screening under s. 49.45 (6c) (b) to the maximum extent practicable in order to avoid duplicative testing and effort.
49.498(2)(d)(d)
49.498(2)(d)1.1. To the extent needed to fulfill the plans of care required under par. (b), a nursing facility shall provide or arrange for the provision of all of the following, which shall meet professional standards of quality:
49.498(2)(d)1.a.a. Nursing services and specialized rehabilitative services to attain or maintain the highest practicable physical, mental and psychosocial well-being of each resident.
49.498(2)(d)1.b.b. Medically related social services to attain or maintain the highest practicable physical, mental and psychosocial well-being of each resident.
49.498(2)(d)1.c.c. Pharmaceutical services, including procedures that assure the accurate acquiring, receiving, dispensing and administering of all drugs and biologicals, to meet the needs of each resident.
49.498(2)(d)1.d.d. Dietary services that assure that the meals meet the daily nutritional and special dietary needs of each resident.
49.498(2)(d)1.e.e. An ongoing program, directed by a qualified professional, of activities designed to meet the interests and the physical, mental and psychosocial well-being of each resident.
49.498(2)(d)1.f.f. Routine dental services to the extent covered under the approved state medicaid plan and emergency dental services to meet the needs of each resident.
49.498(2)(d)2.2. Services specified under subd. 1. a. to d. and f. shall be provided to a resident by qualified persons in accordance with the resident’s written plan of care under par. (b).
49.498(2)(d)3.3. Unless waived under subd. 4., a nursing facility shall:
49.498(2)(d)3.a.a. Provide 24-hour per day licensed nursing services which are sufficient to meet the nursing needs of its residents; and
49.498(2)(d)3.b.b. Shall use the services of a registered professional nurse at least 8 consecutive hours per day, 7 days per week.
49.498(2)(d)4.4. Subject to subd. 5., the department may waive the requirement under subd. 3. a. or b. if all of the following apply: