Section 481.58.22. Rehabilitative services.

Rehabilitative services shall be provided to maintain function or improve the resident’s ability to carry out the activities of daily living.

       58.22(1) Physical therapy services.

        a.           Each facility shall have a written agreement with a licensed physical therapist to provide physical therapy services. (III)

        b.           Physical therapy shall be rendered only by a physical therapist licensed to practice in the state of Iowa. All personnel assisting with the physical therapy of residents must be under the direction of a licensed physical therapist. (II, III)

        c.           The licensed physical therapist shall:

       (1)             Evaluate the resident and prepare a physical therapy treatment plan conforming to the medical orders and goals; (III)

       (2)             Consult with other personnel in the facility who are providing resident care and plan with them for the integration of a physical therapy treatment program into the overall health care plan; (III)

       (3)             Instruct the nursing personnel responsible for administering selected restorative procedures between treatments; (III)

       (4)             Present programs in the facility’s in-service education programs. (III)

        d.           Treatment records in the resident’s medical chart shall include:

       (1)             The physician’s prescription for treatment; (III)

       (2)             An initial evaluation note by the physical therapist; (III)

       (3)             The physical therapy care plan defining clearly the long-term and short-term goals and outlining the current treatment program; (III)

       (4)             Notes of the treatments given and changes in the resident’s condition; (III)

       (5)             A complete discharge summary to include recommendations for nursing staff and family. (III)

        e.           There shall be adequate facilities, space, appropriate equipment, and storage areas as are essential to the treatment or examinations of residents. (III)

       58.22(2) Other rehabilitative services.

        a.           The facility shall arrange for specialized and supportive rehabilitative services when such services are ordered by a physician. (III) These may include audiology and occupational therapy.

        b.           Audiology services shall be under the direction of a person licensed in the state of Iowa by the board of speech pathology and audiology. (II, III)

        c.           Occupational therapy services shall be under the direction of a qualified occupational therapist who is currently registered by the American Occupational Therapy Association. (II, III)

        d.           The appropriate professional shall:

       (1)             Develop the treatment plan and administer or direct treatment in accordance with the physician’s prescription and rehabilitation goals; (III)

       (2)             Consult with other personnel within the facility who are providing resident care and plan with them for the integration of a treatment program into the overall health care plan. (III)