Chapter 514 - Nursing Facility Services - DHHR - State of West ...

outside resource (a person or agency) to provide direct medically-related social services asneeded by the resident or to act as a consultant.The chief function of the social worker is to help with problems which inhibit or prevent theresident's social adjustment and, because of this, affect his/her ability to benefit from their stayin the nursing facility.Social service activity is not limited to the resident alone, but will usually include contact with theresident's family, close friends, and the coordination of services with other agencies, such asWVDHHR, Social Security Administration (SSA), Veteran's Administration (VA), Aging &Disability Resource Centers, community service organizations, etc. A good working knowledgeof community resources is a valuable asset for the social worker.The social worker is to provide indirect services to the resident through staff education both byparticipation in the nursing facility’s in-service training program and through conferences withstaff who are concerned with the resident’s care. To carry out this function, the social worker willneed to have a thorough knowledge of the nursing facility’s method of operation and itspractices and policies.Sales and marketing activities do not constitute medically-related social services.514.5.9 Activities DirectorIn compliance with 42 CFR 483.15 (f) (1)(2)(i) (A)(B)(ii)(iii)(iv) the nursing facility administrator ordesignee must provide for an ongoing program of activities designated to meet, in accordancewith the comprehensive assessment, the interests and the physical, mental, and psychosocialwell-being of each resident.The administrator or designee must designate a qualified professional who is a qualifiedTherapeutic Recreation Specialist or an Activities Professional, who is licensed or registered, byan accrediting body on or after October 1, 1990.The Activities Director is responsible for developing programs which provide constructivesupervision and services directed toward restoring and maintaining each resident at his/her bestpossible functional level including activities designed to encourage self-care and independence.The Activities Director shall develop a plan for independent and group activities for eachresident in accordance with his/her needs and interests. The plan is incorporated in the overallplan of care and is reviewed with the resident's participation at least quarterly and revised asneeded and documented in the care plans and MDS.The activities director shall provide opportunities for meaningful activities and socialrelationships. These may include holiday celebrations, parties, indoor and outdoor games, orpersonal hobbies. Educational or recreational activities sponsored by groups within thecommunity should be encouraged and planned with these community groups or agencies.Department of Health and Human Resources Chapter 514: Nursing Facility Services Page 27January 1, 2013DISCLAIMER: This manual does not address all the complexities of Medicaid policies and procedures,and must be supplemented with all State and Federal Laws and Regulations.