Our live virtual Respiratory therapist will cover multiple topics in three different one-hour in-services over nine sessions.
The Reg we are referring to is CMS 483.65 Specialized Rehabilitative Services
“Specialized Rehabilitative Services” includes but is not limited to physical therapy, speech-language pathology, occupational therapy, or respiratory therapy and are provided or arranged for by the nursing home. They are “specialized” in that they are provided based on each resident’s individual assessed rehabilitative needs based on their comprehensive plan of care and can only be performed by or under the supervision of qualified personnel. These services must be provided by the facility or an outside resource and delivered by qualified personnel as defined below in the guidance under tag F826 and who are acting within the State’s scope of practice laws and regulations.
The “tag” mentioned in the last line of the paragraph above is this:
Tag F826 is companion to this, and requires that specialized rehab services must have a written physician order and be provided by qualified personnel.
“Qualified Personnel” means a physical therapist, occupational therapist, respiratory therapist, speech-language pathologist, physician, nurse practitioner, clinical nurse specialist, or physician’s assistant, who is licensed or certified by the state to furnish therapy services. Qualified personnel may also include a physical therapist assistant (PTA), or an occupational therapy assistant (OTA) when furnishing services under the supervision of a qualified therapist.
GUIDANCE §483.65(b) The facility must employ either directly or contract with an outside resource the appropriate qualified personnel as defined above, and additional support staff to ensure the needs of the residents are met in accordance with their comprehensive plan of care. In addition to meeting the specific competency requirements as part of their license and certification requirements defined under State law or regulations, these personnel must have the training, competencies and skill sets to care for residents as identified through resident assessments, and described in the plan of care.
Here is the link for you to review. The Reg is on page 665 and the tag is on page 668.