DHS 132.60(8)(a)(a) Development and content of care plans. Except in the case of a person admitted for short-term care, within 4 weeks following admission a written care plan shall be developed, based on the resident’s history and assessments from all appropriate disciplines and the physician’s evaluation and orders, as required by s. DHS 132.52. DHS 132.60 NoteNote: For requirements upon admission, see s. DHS 132.52. For requirements for short-term care residents, see s. DHS 132.70 (2). DHS 132.60(8)(b)(b) Evaluations and updates. The care of each resident shall be reviewed by each of the services involved in the resident’s care and the care plan evaluated and updated as needed. DHS 132.60(8)(c)(c) Implementation. The care plans shall be substantially followed. DHS 132.60 NoteNote: The department encourages and promotes the principles of resident self-determination and person directed care.
DHS 132.60 HistoryHistory: Cr. Register, July, 1982, No. 319, eff. 8-1-82; r. and recr. (5) (d) 1., Register, February, 1983, No. 326, eff. 3-1-83; am. (1) (d), (2) (d), (3) (5) (a) 1. to 3., (6) (c) and (8) (a), r. and recr. (1) (b) and (6) (f), Register, January, 1987, No. 373, eff. 2-1-87; am. (6) (a) 1. Register, February, 1989, No. 398, eff. 3-1-89; cr. (8) (d), Register, November, 1990, No. 419, eff. 12-1-90; correction in (5) (d) made under s. 13.93 (2m) (b) 7., Stats., Register, August, 2000, No. 536; CR 04-053: cr. (1) (c) 5., am. (5) (a) 1. and 2., (5) (d) 2., and (6) (b), r. (5) (a) 3. and (c) Register October 2004 No. 586, eff. 11-1-04; CR 06-053: r. (1) (a) 2. and 3., (c) 1., and (e), (2) (c), (4), (5) (a) 4., (b), (d) 3., 4., 6. and (e), (6) (a), (c), (d), (g), (7), and (8) (a) 1., and 2., and (d), am. (5) (a) 1., (6) (b), and (8) (a) (intro.), Register August 2007 No. 620, eff. 9-1-07. DHS 132.61DHS 132.61 Medical services. Every skilled care facility shall retain, pursuant to a written agreement, a physician to serve as medical director on a part-time or full-time basis as is appropriate for the needs of the residents and the facility. Medical direction and coordination of medical care in the facility shall be provided by the medical director. DHS 132.61 HistoryHistory: Cr. Register, July, 1982, No. 319, eff. 8-1-82; r. and recr. (2) (b), Register, January, 1987, No. 373, eff. 2-1-87; correction in (2) (b) made under s. 13.93 (2m) (b) 7., Stats., Register, December, 1996, No. 492; CR 06-053: r. (1) (c), (2), cons., renum. and am. (1) (a) and (b) to be DHS 132.61, Register August 2007 No. 620, eff. 9-1-07. DHS 132.62(1)(1) Definitions. “Nursing personnel” means nurses, nurse aides, nursing assistants, and orderlies. DHS 132.62(2)(a)(a) Director of nursing services in skilled care and intermediate care facilities. DHS 132.62(2)(a)1.1. ‘Staffing requirement.’ Every skilled care facility and every intermediate care facility shall employ a full-time director of nursing services who may also serve as a charge nurse in accordance with par. (b). DHS 132.62(2)(a)2.2. ‘Qualifications.’ The director of nursing services shall be a registered nurse. DHS 132.62(2)(a)3.b.b. Developing and maintaining standard nursing practice, nursing policy and procedure manuals, and written job descriptions for each level of nursing personnel; DHS 132.62(2)(a)3.e.e. Being on call at all times, or designating another registered nurse to be on call, when no registered nurse is on duty in the facility; and DHS 132.62(2)(a)3.f.f. Ensuring that the duties of nursing personnel shall be clearly defined and assigned to staff members consistent with the level of education, preparation, experience, and licensing of each. DHS 132.62(2)(b)(b) Charge nurses in skilled care facilities and intermediate care facilities. DHS 132.62(2)(b)1.1. ‘Staffing requirement.’ A skilled nursing facility shall have at least one charge nurse on duty at all times, and: DHS 132.62(2)(b)1.a.a. A facility with fewer than 60 residents in need of skilled nursing care shall have at least one registered nurse, who may be the director of nursing services, on duty as charge nurse during every daytime tour of duty; DHS 132.62(2)(b)1.b.b. A facility with 60 to 74 residents in need of skilled nursing care shall, in addition to the director of nursing services, have at least one registered nurse on duty as charge nurse during every daytime tour of duty; DHS 132.62(2)(b)1.c.c. A facility with 75 to 99 residents in need of skilled nursing care shall have, in addition to the director of nursing services, at least one registered nurse on duty as charge nurse during every daytime tour of duty. In addition, the facility shall have at least one registered nurse on duty as charge nurse every day on at least one other non-daytime tour of duty. DHS 132.62(2)(b)1.d.d. A facility with 100 or more residents in need of skilled nursing care shall have, in addition to the director of nursing services, at least one registered nurse on duty as charge nurse at all times. DHS 132.62(2)(b)1.e.e. An intermediate care facility shall have a charge nurse during every daytime tour of duty, who may be the director of nursing.