DHS 83.38(1)(f) (f) Communication skills. The CBRF shall provide services to meet the resident’s communication needs.

DHS 83.38(1)(g) (g) Health monitoring.

DHS 83.38(1)(g)1. 1. The CBRF shall monitor the health of residents and make arrangements for physical health, oral health or mental health services unless otherwise arranged for by the resident. Each resident shall have an annual physical health examination completed by a physician or an advanced practice nurse as defined in s. N 8.02 (1), unless seen by a physician or an advanced practice nurse as defined in s. N 8.02 (1) more frequently.

DHS 83.38(1)(g)2. 2. When indicated, a CBRF shall observe residents’ food and fluid intake and acceptance of diet. The CBRF shall report significant deviations from normal food and fluid intake patterns to the resident’s physician or dietician.

DHS 83.38(1)(g)3. 3. The CBRF shall document communication with the resident’s physician and other health care providers, and shall record any changes in the resident’s health or mental health status in the resident’s record.

DHS 83.38(1)(h) (h) Medication administration. The CBRF shall provide medication administration appropriate to the resident’s needs.

DHS 83.38(1)(i) (i) Behavior management. The CBRF shall provide services to manage resident’s behaviors that may be harmful to themselves or others.

DHS 83.38(1)(j) (j) Information and referral. The CBRF shall provide information and referral to appropriate community services.

DHS 83.38(1)(k) (k) Transportation. The CBRF shall provide or arrange for transportation when needed for medical appointments, work, educational or training programs, religious services and for a reasonable number of community activities of interest. CBRFs that transport residents shall develop and implement written policies addressing the safe and secure transportation of residents.

DHS 83.38(2) (2) Terminally ill resident services.

DHS 83.38(2)(a) (a) A CBRF may provide more than 3 hours of nursing care per week to a resident who has a terminal illness and who requires the care under the following conditions:

DHS 83.38(2)(a)1. 1. The resident’s primary care provider is a licensed hospice or licensed home health agency.

DHS 83.38(2)(a)2. 2. The resident’s primary care provider is not a licensed hospice or licensed home health agency, and the CBRF obtains a waiver from the department.

DHS 83.38(2)(b) (b) When a resident who requires less than 3 hours of nursing care or the resident’s legal representative waives the services of a hospice program or home health agency, the CBRF shall develop and implement the written plan of care required under par. (c), which the resident’s primary physician shall review and approve.

DHS 83.38(2)(c) (c) The primary care provider and the CBRF shall develop a written, coordinated plan of care before the initiation of palliative or supportive care.

DHS 83.38 History History: CR 07-095: cr. Register January 2009 No. 637, eff. 4-1-09; CR 10-091: am. (1) (g) 1. Register December 2010 No. 660, eff. 1-1-11.

DHS 83.39 DHS 83.39 Infection control program.

DHS 83.39(1) (1) The licensee shall establish and follow an infection control program based on current standards of practice to prevent the development and transmission of communicable disease and infection.

DHS 83.39(2) (2) The infection control program shall include written policies and training for employees.

DHS 83.39(3) (3) Employees shall follow hand washing procedures according to centers for disease control and prevention standards.

DHS 83.39(4) (4) Other occupants shall comply with infection control requirements as stated in s. DHS 83.17 (2).

DHS 83.39(5) (5) The CBRF shall ensure that pets are vaccinated against diseases, including rabies, if appropriate.

DHS 83.39 History History: CR 07-095: cr. Register January 2009 No. 637, eff. 4-1-09.

DHS 83.40 DHS 83.40 Oxygen storage. Oxygen storage shall be in an area that is well ventilated and safe from environmental hazards, tampering, or the chance of accidental damage to the valve stem. If oxygen cylinders are in use, oxygen cylinders shall be secured in an upright position. If stored upright, cylinders must be secured. If stored horizontally, cylinders shall be on a level surface where they will remain stationary.

DHS 83.40 History History: CR 07-095: cr. Register January 2009 No. 637, eff. 4-1-09.

DHS 83.41 DHS 83.41 Food service.

DHS 83.41(1) (1) General requirements.

DHS 83.41(1)(a) (a) Food supply.

DHS 83.41(1)(a)1. 1. The CBRF shall maintain a food supply that is adequate to meet the needs of the residents.