Division of Nursing Homes, . <> SimpleCFS, About SimpleLTC Consolidated Medicare and Medicaid requirements for participation (requirements) for Long Term Care (LTC) facilities (42 CFR part 483, subpart B) were first published in the Federal Register on February 2, 1989 (54 FR 5316). Whether you are an administrator, care manager, maintenance director, care staff or part of the facilities team, a fire emergency will happen at some point in your long-term care (LTC) career. Official websites use .govA Email: LTCStaff@ahca.myflorida.com. These surveys help to make sure that nursing homes are following state and federal regulations to be a licensed facility. AJN, American Journal of Nursing: January 2004 - Volume 104 - Issue 1 - p 90. During resident, representative and staff interviews, surveyors may identify areas where training may be needed, including when a surveyor has identified a concern and asks a nurse aide about the relevant education and skills competencies he/she has received. ( mg bP word/document.xmlZ]r~OU#S3lY3Nv. This new and updated version of Essential In-Services for Long-Term Care: Education for Frontline Staff includes 52 training lessons that help facilities comply with CMS in-service training requirements for certified nursing assistants and other frontline staff. f?3-]T2j),l0/%b Industry News Quality Assurance expectations are reflected in the lessons, making quality of care a priority as . Long Term Care Regulations and Guidance . Anticipating the residents' needs b. Federal statute and regulations require that each nurse aide receive 12 hours in in-service training or education annually. CFR section descriptions: Requirements for Long Term Care Facilities Brief description of document (s) The provisions of this part contain the requirements that an institution must meet in order to qualify to participate as a SNF in the Medicare program, and as a nursing facility in the Medicaid program. In 2013 she served as chair of the Workforce Development Committee for the State of Connecticut Task Force on Alzheimers Disease and Dementia. Certified Nurse Aide Annual In-service Education. Fire prevention or control and emergency preparedness; 4. Evaluation Methods, When To Use A-48. Centers for Medicare & Medicaid Services (CMS) has taken recent action in response to the COVID-19 pandemic to address health and safety concerns for long-term care (LTC) facilities and nursing homes. lock The sections below provide additional information about the background and overview of the final rule, frequently asked questions, and other related resources. Safety and accident prevention; 5. 2 0 obj FOR IMMEDIATE RELEASE. Parsons SK, Simmons WP, Penn K, Furlough M . Fighting for Dignity: A Film on Injurious and Fatal Resident-to-Resident Incidents in Long-Term Care Homes. Covered individuals include an owner, operator, employee, manager, agent, or contractor of the facility. JLV{xNN\),X;6!&=5P_Y*b #HB5mu5>l|gB+RLK]X/B fqEBzcyY~bK?&NS[vR91ZIX;4[M /^ZenZ"c_7IEE-yP+dQrBf_-Itj_y[pw(Pwj"qPu]D]|aI`E`r6[;,AdUc2XAUwy 0MsBHvIT@ygykOR K B 3Xiv<6TP8atm0)$JWx%^M#'wQp"Yn"[-rzU~)mD*%| tEyHd@TM0Ih37 *Digital product and event terms may vary. In-service: Caring for the Caregiver. Buy. It is estimated that 1 to 3 million serious infections occur every year in: nursing homes skilled nursing facilities assisted living facilities EMunozln/pn;fBP gx|iU&F69RuShf/XM6}B=!`]+ QnBxL5S@nMrZN=vOTj,\1DlP*Od}%Qv[eS0R(|P+S2@9 )j_^k0&G\EHqmgY}Jlu;O). If your are using Internet Explorer on this site, some pricing and checkout options may not function correctly. [R w!X/y`iLV $T# !`JA7SDO&P&\k$6B3H #)M&9o:{-}q}u?q^>iU"(YGX"V"LSy0*aeYoG-y 5JO%&nKFCt63@r$?MTLD".M+p%6R@646| j H$f2nv[We1w{zzOVk:;tt$Kf1' bD\cEtW]K; requirements for temporary managers in long-term care facilities. Do you have a topic youd like us to cover? The material in this book covers the most essential topics in long-term care, including COVID-19, infection control, emergency preparedness, and behavior management,. The Long Term Care Inservices book gives all of the basic information needed to fulfill the requirements of the Staff Development position in a long term care facility for nursing assistant training. Abuse Prevention. Stand-Alone Long-Term Care Facilities: Chapter 198, RSMo Convalescent, Nursing and Boarding Homes (all sections) Section 191.1400, RSMo Compassionate Care Visits Section 191.2290, RSMo Essential Caregiver Program Section 192.2000, RSMo Dementia-Specific Training Requirements Sections 192.2490 - 192.2500, RSMo The training resources below are available free of charge for skilled nursing facilities. the audience intended for lpn's and cna's. topics could include safety, medication errors, pain management, communication..etc. % Rule 3701-17-08 | Personnel requirements. Dimensions: 8.5" X 11" spiral. Respiratory. Competency-Based Care & Facility Assessments: A Compliance Guide for F726 and F838, The Comprehensive Manual for Nursing Home Administration, Third Edition, If for any reason you are not completely satisfied with an HCPro product, simply return it within 30 days of purchase and we will issue you a full refund.*. Inservice Education for Long Term Care Facilities A Seminar on Pharmaceutical Services. Substance Abuse. Prevention and control of infections; 3. Staff Development Handbook for Long-Term Care Facilities. Special needs of residents as determined by the nursing facility staff; 2. ( vz [Content_Types].xml ( MK@!UD?*u;iIk~)ygl1i Papa has presented at numerous state and national conferences on a variety of topics; including building learning organizations, creativity in staff development, person-centered care, dementia care, leading change, and leadership development. Examples Of Evaluation Questionnaires A-50. {6DB$@i5OFN{(9I"ed wd"l^?MDi41llj|3/5X'ecurqv%jFBn":9ZQ ?,1Mj>!31x+\X Yg\LtZd;Je&dU5UfI=H[uKQh5jByLx;q6i_'6~e!685:e4F"B4g& O+lx^t 42iyirWxdI+^6|~3T!',JI$SLXct~Jd`F*N?nw_^OOh!G[vWH}i/!M%+ "VUqewxdDfvmVfqb8KX$MT2@bD18hH|BHybPVv+4T1W gTJ9#Tvsu|k)BVA\lT 9 gXbp9Jgwv*ioPh%)N=R9!.0D%k)o*)B$0~$fk4WIn&Cu'P]aFRa2>+fZ You can decide how often to receive updates. As a reference and learning tool, manuals were developed An official website of the United States government CMS Compliance Group, Inc. is a regulatory compliance consulting firm with extensive experience servicing the post-acute/ long term care industry. 13. A person eighteen (18) years of age or older. 7500 Security Boulevard, Baltimore, MD 21244, An official website of the United States government, Quality, Safety & Oversight- Guidance to Laws & Regulations, Life Safety Code & Health Care Facilities Code (HCFC), Psychiatric Residential Treatment Facilities, Comprehensive Outpatient Rehabilitation Facilities, Religious Nonmedical Health Care Institutions, LTCSP Initial Pool Care Areas - Updated 10/24/2022 (ZIP), LTCSP Interim Revisit Instructions - Updated 08/03/2018 (PDF), Appendix PP State Operations Manual (Revised 02/03/2023) (PDF), Revision History for LTC Survey Process Documents and Files Updated 02/17/2023 (PDF), Nursing Home Infection Preventionist Training. 21 Complete Nurse Aide Inservices in the book and CD, on Nursing Assistant Inservices for Long Term Care, Nursing home care plans, MDS Coordinator books, and Director of Nursing books for long term care. Page count:716 Dimensions: 8.5 X 11 spiral ISBN:978-1-64535-132-0. They serve as the basis for survey activities for the purpose of determining whether a facility meets the requirements for participation in Medicare and Medicaid. Many healthcare workers are required to take continuing education courses to stay on top of new developments in their professions. Nos cartes de rduction Rmi, vous permettent de voyager jusqu' -66% de rduction sur une anne.Billet partir de 7,00 avec une carte Rmi Libert Plus ou Jeune (pour tous, samedi, dimanche et jours fris) contre 21 en plein tarif. During survey, surveyors do not need to find a negative outcome to cite the facility under F947. Add to Cart. In-service requirements: State and federal in-service education mandates include 12 hours per year for home health aides (HHAs) and 6 hours per year for personal care aides (PCAs). .L? CE Hours - The 12 hours of CE required each year by your birthday. ) You may be trying to access this site from a secured browser on the server. you can download the inservice from the receipt p.. $49.95 Ex Tax: $49.95. 1), LTCSP Survey Materials Updated (2/17/2023), Ftag of the Week F773 Lab Svcs Physician Order/Notify of Results, Ftag of the Week F571 Limitations on Charges to Personal Funds. These tests may be taken online and electronically submitted to Home Health Specialists. These CEUs must include 12 hours of approved continuing education in care for residents with Alzheimer's Disease and other dementia-related disorders, and a total of 12 hours of approved continuing education in the following areas: infection control procedures; emergency procedures; abuse and neglect, and misappropriation of resident property; Nursing Home Abuse Hotline: 888-201-4563. Federal and State standards to receive Medicare and Medicaid reimbursement for the care they provide to residents enrolled in the Medicare and Medicaid programs. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 19 0 R 20 0 R 23 0 R 24 0 R 25 0 R 26 0 R 27 0 R 28 0 R 29 0 R 30 0 R 31 0 R 32 0 R 33 0 R 34 0 R 35 0 R 36 0 R 37 0 R] /MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> CMS Compliance Group, Inc. is a regulatory compliance consulting firm with extensive experience servicing the post-acute/ long term care industry. After purchase, you can download the . Long Term Care/Nursing Homes Qualified Medication Aide (QMA) Registration QMA Annual Inservice Training QMA Annual Inservice Training QMA Annual Inservice Training (6 hours) must be completed every year and kept by the QMA. What do we mean by this? Let us know. The twenty-one long term care inservice topics include the basic inservices given yearly at most long term care facilities for nursing assistant training. Complete your staffs in-service requirements in less time. endobj Emphasis, instead, should be placed on recruiting an individual who has a firm knowledge of long-term care rules and regulations, has demonstrated some degree of clinical competence and successful experience in long-term care, and has both leadership and "people" skills. The revisions were published in a final rule that became effective on November 28, 2016. SimpleLTC Blog, 469.916.2800 FEATURES: Book of the Year Awards: The most valuable texts of 2003, as chosen by AJN's panel of judges: NURSING EDUCATION & CONTINUING EDUCATION. Quality Assurance expectations are reflected in the lessons, making quality of care a priority as well as meeting regulatory expectations. Official websites use .govA Keystone State. Heres how you know. Contact: HHS Office of Civil Rights. Some states have slightly different requirements, like Florida and California. An unspecified portion of this training must be based on performance evaluations of the nurse aides. The in-service requirement begins from the aide's date of hire/employment. Role Playing as a Learning Strategy (May 2006) Certified Nursing Assistants (CNA) must complete an approved training program designed to prepare individuals for employment in a long-term care facility. Professional Issues & Career Management. The orientation program for nurse aides permanently employed by the long-term care facility shall be at least three hundred and sixty minutes in length to occur during the first forty hours worked, with one hundred and eighty minutes occurring before the nurse aide has any resident contact; The Federal regulation requires that nurse aides receive at least 12 hours of in-service training annually, but states have varying requirements for education that exceed this minimum requirement may be needed based a number of areas such as a changing resident population that require specialized education. A sign prescribed by HHSC that describes complaint . . i would love some input for inservice ideas. The importance and techniques of personal care services, including, but not limited to: bathing, grooming . At least 12 hours must be taken each year and 24 hours may be taken online. Free LTC Training To meet the 24-month timing requirements, an agent must complete this long term care continuing education course during each biennial license cycle required of all other continuing education requirements (as set out in Section 120-2-3-.16) measured from the date of completion of . Personnel requirements. It includes the latest CMS regulations on infection control for long term care, a job description for the infection control nurse, and information on coding infections on the MDS 3.0. The twenty-one long term care inservice topics include the basic inservices given yearly at most long term care facilities for nursing assistant training. Long term care worker - a person paid to provide direct care, a caregiver. The long term care inservices material is focused on the learning needs of nursing assistants, and uses the language of the Minimum Data Set MDS 3.0 and Nursing Care Plan, encouraging consistency in the long term care health care team approach. 3 0 obj While you are taking a look at the associated systems, take a look at the last time each nurse aide had a performance evaluation (hopefully it is not from 2016 or earlier) that was accurately completed. or A nurse aide, nor any of us, are so perfect of an employee that only time and attendance need improvement. |. You must have JavaScript enabled in your browser to utilize the functionality of this website. obviously i and wide open to any suggestions. vYNz`O%N l F )i This chapter also examines the training and education of personnel; hiring and employment . In Fiscal Year 2000, Medicare and Medicaid paid more than $45 billion to nursing homes. Nursing homes are inspected annually by the Pennsylvania Department of Health. This weeks Ftag of the Week is F947 Required In-Service Training for Nurse Aides, which is part of the Training Requirements regulatory Ftag of the Week F947 Required In-Service Training for Nurse Aides, F690 Bowel/Bladder Incontinence, Catheter, UTI (Pt. Abuse and Neglect: Prevent, Recognize, and Report, Drug Regimen Review and Medication Reconciliation, Nutrition: Guidelines for Balanced Meals and Special Diets. Seul ou plusieurs, diffrentes solutions existent pour vous faire faire un maximum d'conomies. The requirement under F947 states that training must include dementia management and resident abuse prevention training. endobj 1-800-368-1019. Long term care inservice forms to facilitate scheduling, planning, assessment, and evaluation of inservices are included. For questions about the amendments to the regulations, contact the Department of Health Bureau of Long-Term Care Programs at This product is not mailed to you. <> website belongs to an official government organization in the United States. The surveyors will be reviewing the adequacy of the in-service program not just by looking at hours of completed education, but also by observing nurse aides. 12 hours per year, 483.95(g)(1), will be implemented in Phase 1, the effective date of the final rule; . This FastFacts focuses on educational strategies that nursing home leaders can use to engage long term care personnel. Video & Webinar Style. Published: May 2021. A long-term care facility is required by state regulation to provide 12 hours of in-service to nursing personnel. HEALTH AND SAFETY, Interpretive guidelines for Pennsylvania state nursing home regulations, State Operations Manual Appendix PP - Guidance to Surveyors for LTCFs, Long Term Care Survey Process (LTCSP) Procedure Guide, Historical nursing home survey reports for PA facilities, requirements for temporary managers in long-term care facilities, Dr. Debra L. Bogen, Acting Secretary of Health, examine how well the nursing home ensures that its residents feel at home, evaluate how well the nursing home provides care to its residents by meeting minimum regulatory standards, use tools to determine the quality of care and quality of life of nursing home residents, observe how the staff and residents talk and interact with each other, watch how the staff provides nursing care to residents, interview residents and family to see how they feel about the care they are receiving, review resident charts to see if necessary services are identified and provided, tour the facility to see if the environment is comfortable and safe for the residents, observe meals to assure the food is nutritionally balanced, attractive, the right temperature and tastes good, observe nurses giving medications and providing treatment to residents, meet with groups of residents to determine if there are widespread problems in the nursing home, meet with staff and administrators to see if they have developed ways of solving problems in the nursing home, imposing a ban on admissions and/or re-admissions, losing its right to participate in federal Medicare or state Medicaid programs. The long term care inservices material is focused on the learning needs of nursing assistants, and uses the language of the Minimum Data Set MDS 3.0 and Nursing Care Plan, encouraging consistency in the long term care health care team approach. A long-term care facility is required by state regulation to provide 12 hours of in-service to nursing personnel. Do you have a topic you'd like us to cover? The requirements for participation were recently revised to reflect the substantial advances that have been made over the past several years in the theory and practice of service delivery and safety. If you are not employed in a long-term care facility you are not required to have the 12 hours of in-service in order to keep your certificate active. NY;t-n7lz6UW|-Q]Sp^VHjn0= ;k/u1}& 14. %PDF-1.7 Issue areas being reviewed by the Task Force include facility staffing and financing, infection control, personal protective equipment and supplies, COVID-19 testing . html xmlns="http://www.w3.org/1999/xhtml" lang="en-US">, Books ship with USPS tracking Mon-Fri and arrive in 5-7 days, Current with all RAI Manual Updates, Surveyor Guidelines and Federal Regulatory Changes, Abuse Activities of Daily Living Catheter Care and UTIs Cognitive Impairment Constipation Falls Feeding Infectious Diseases Nutrition and Hydration Pain Care Range of Motion Resident Rights Restraints Sensory and Communication Impairments Sexual Harassment and Professional Communication Skin Care Standard Precautions Transfers and Lifts Urinary Incontinence Wandering Workplace Violence. SimpleAnalyzer https://www.pacodeandbulletin.gov/. Secure .gov websites use HTTPSA Effective in Phase 2, the in-service training also needed to address the unique needs of a facilitys resident population based on the Facility Assessment and as determined by facility staff. 1 0 obj 7500 Security Boulevard, Baltimore, MD 21244, An official website of the United States government, Conditions for Coverage (CfCs) & Conditions of Participations (CoPs), Rural Health Clinic/Federally Qualified Health Center, Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID), Religious Nonmedical Health Care Institutions, Comprehensive Outpatient Rehabilitation Facilities (CORFs), Clinics, Rehab Agencies, & Public Health Agencies as Providers of Outpatient PT and Speech Language, Restraint Reduction Assessment and Alternatives Help Guide for Skilled Nursing Facilities (PDF), Quality, Safety & Oversight - Enforcement. Dementia Training Requirements State by State. Psychiatric & Mental Health. CNAs are no different. 15. . The page is designed to assist long term care providers through the state licensure and federal certification processes, as well as provide additional resources to maintain compliance. Overview Each year, more than 23,000 Arkansans receive services in long-term care facilities licensed and inspected by the Office of Long Term Care (OLTC). She is responsible for developing the Masonicare University and creating a culture of continuous learning. An agent must complete ongoing training consisting of a four (4) hour continuing education course every 24 months. means youve safely connected to the .gov website. . In-service and Orientation programs are required for all Skilled Nursing Facilities (SNF) and Intermediate Care Facilities (ICF). "[`cL%E{ x)sfAyCfK\;A]'J)ITI :TGL5H/r~2Sy,m%uuylniKi"|i .+5 *_^;FICL|3l{tanzj.n.oWGAA&DOZx,VXm0uHrE2hP:wjb5arm$+\x}Ly,Ocl+Jv[Lvt?F(%bg%=]e@Gq&$oi(J#' FdIf.'M yi7oh{*6$Z:%w86gU Mandatory Inservices. The training resources below are available free of charge for skilled nursing facilities. With the idea of continuous quality improvement in mind, CMSCG's interdisciplinary team ensures that all departments can achieve and maintain compliance while improving quality of care. This is the time to take a hard look at your Inservice Education Program for your nurse aides and address any areas of weakness that are identified in providing necessary education and doing follow-up quizzes or discussion to assess staff understanding of the education provided. For example, if a nurse aides manner is rushed and upsets the cognitively impaired residents she is responsible for, develop a performance improvement plan for this area especially if the aide is too frequently reporting a bruise after providing care. or Child and Adult Care Food Program (CACFP), Eat Smart Guidelines for Child Care - Artificial Sweeteners, Eat Smart Guidelines for Child Care - Cereal, Eat Smart Guidelines for Child Care - Cycle Menus, Eat Smart Guidelines for Child Care - Dark Green/Orange Fruits and Vegetables, Eat Smart Guidelines for Child Care - Family Style Meals, Eat Smart Guidelines for Child Care - Fruits/Vegetables, Eat Smart Guidelines for Child Care - Fundraisers, Eat Smart Guidelines for Child Care - Juice, Eat Smart Guidelines for Child Care - Meat/Meat Alternate, Eat Smart Guidelines for Child Care - Outside Food Policy, Eat Smart Guidelines for Child Care - Sweet Items/High-Fat Snack Items, Eat Smart Guidelines for Child Care - Whole Grains, Food Safety - Manufactured Foods - Better Process Control, Food Safety - Manufactured Foods - Labeling, Food Safety - Retail Foods - Summer Food Service Program, General Program Questions (CNA, CMT and Insulin Registry), HAI - Missouri HealthcareAssociated Infection Reporting System, HAI - Surgical Site Infections (SSI) Manual, HAI - Ventilator-Associated Pneumonia (VAP) Prevention Manual, Instructor/Examiner & Clinical Supervisor (CNA, CMT and Insulin Registry), Lead Licensing - Inspection and Risk Assessment, Missouri County-level Study - Study Design and Methodology, Missouri Health Care-Associated Infection Reporting, Missouri Pregnancy Risk Assessment Monitoring System, Nursing Homes - Construction and Remodeling, Nursing Homes - Nursing Home Certification, Nursing Homes - Nursing Home General Information, PRAMS (Pregnancy Risk Assessment Monitoring System), Prenatal Substance Use Prevention - General Public, Prenatal Substance Use Prevention - Health Care Providers, Registry Information - Registering at License Office, Registry Information - Signing Up/Removing, Registry Update (CNA, CMT and Insulin Registry), Show Me Healthy Women - Completing SMHW Forms, State Public Health Laboratory - Breath Alcohol, UserVoice Terms of Service & Privacy Policy. We periodically offer free long-term care training events covering important topics like PDPM, SNF reimbursement, MDS workflow, CMS regulatory change, Texas Medicaid and more. Learn more. <>/Metadata 542 0 R/ViewerPreferences 543 0 R>> This weeks Ftag of the Week is F947 Required In-Service Training for Nurse Aides, which is part of the Training Requirements regulatory group. The survey protocols and interpretive guidelines serve to clarify and/or explain the intent of the regulations. Nursing home surveys are conducted in accordance with survey protocols and Federal requirements to determine whether a citation of non-compliance appropriate. A detailed thirty minute in-service to be presented to nursing and long term care staff. A certificate of completion for each in-service is included to document participant training hours, as is a checklists to help providers conduct audits of learned material. Long Term Care, Staff Education . Chapter 1 General Acute Care Hospital -Article 7 Administration Chapter 2 Acute Psychiatric Hospital Chapter 3 Skilled Nursing Facilities Chapter 4 Intermediate Care Facilities Chapter 7 Primary Care Clinics -Chapter 7.1 Specialty Clinics Article 6 Hemodialyzer Reuse Chapter 12 Correctional Treatment 21 training to be a part of 12 hours per year in-service training for nurse aides. All surveyors are required to use them in assessing compliance with Federal requirements. Residents in long term care should be offered fluids frequently. The CNA program teaches skills in resident care under the direct supervision of a licensed nurse. Alzheimer's Disease and Falling - Online Inservice Contact Hours: 2. June 23, 2016. 2. support@simpleltc.com. Florida Relay Service (TDD): (800) 955-8771. Long-term care software people love to use. Sample Inservice Education Report Form A-63. $0)Y$SHol%lAdj-|q&CE3H[pE!X*tSEnfb$@R|1rR!ewx,s- q./o gmcZm~D| Research has demonstrated that interactive and entertaining learning strategies in nursing homes increase caring skills, self-confidence, empowerment, and creative thinking. Long term care facilities provide a variety of services, both medical and personal care, to people who are unable to live independently. With the idea of continuous quality improvement in mind, CMSCG's interdisciplinary team ensures that all departments can achieve and maintain compliance while improving quality of care. Deficiencies are based on violations of the regulations, which are to be based on observations of the nursing homes performance or practices. x=8 ?i^Q$umT,&=I}/+Z_eVe tHC\l~~6|7x_uvX/{|nWH+E%Qem??|'2.? The Consumer Voice envisions a world in which all consumers of long-term care, services and supports are treated with respect and dignity and have a wide range of aordable, quality options across all settings. Pennsylvania Code - TITLE 28. Minimize problems . Strengthen staffing, testing and infection control measures at long-term care facilities; and Keep stakeholders informed about the impact of COVID-19 on long-term care facilities. 40 T.A.C. She earned her BSN from Saint Anselm College in New Hampshire and her MSN from the University of Saint Joseph. F. Advance Directive. Module 1: Texas Long-term Care Overview Module 2: Resident Rights Module 3: Quality of Resident Care Module 4: Infection and Infection Control Module 5: Dementia Disorders Module 6: Resident Care for Dementia-related Conditions Infection Control for Nurse Aides Computer-based Training ) (D"EX$*"G;h.2>?~JC%`BN6nF^G}^9yDRP :fk$0jXO/IME6f=fa&:.Z0 It is a health facility or a distinct part of a hospital or Skilled Nursing Facility staffed, organized, operated, and maintained to provide 24-hour long term inpatient care and other restorative services under nursing supervision. RA-DHLTCregs@pa.gov. State Mandated CE. /!9)s'(PM5. Monitoring the physical and psychological well-being of the patient who is restrained or secluded, including but not limited to, respiratory and circulatory status, skin integrity, vital signs, and any special equirements specified by hospice policy associated with the 1-hour face-to-face evaluation. Dehydration prevention in LTC. 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