of Care (Ftag 309)
States that "Each resident
must receive and the facility must provide the necessary care and
services to attain or maintain the highest practicable physical,
mental, and psychosocial well-being, in accordance with the comprehensive
assessment and plan of care."
The stated Intent of section: §483.25
is that the "facility must ensure that the resident obtains
optimal improvement or does not deteriorate within the limits of
a resident's right to refuse treatment, and within the limits of
recognized pathology and the normal aging process."
"Highest practicable physical, mental, and psychosocial well-being"
is defined as the highest possible level of functioning and well-being,
limited by the individual's recognized pathology and normal aging
process. Highest practicable is determined through the comprehensive
resident assessment and by recognizing and competently and thoroughly
addressing the physical, mental or psychosocial needs of the individual.
Compliance with F309, Quality of Care - The facility is in
compliance with this requirement if staff:
o Recognized and assessed factors placing the resident at risk for
specific conditions, causes, and/or problems;
o Defined and implemented interventions in accordance with resident
needs, goals, and recognized standards of practice;
o Monitored and evaluated the resident's response to preventive
efforts and treatment; and
o Revised the approaches as appropriate.
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