(a) Health Service Plan. The facility shall have and implement a written health service plan developed in consultation with the designated health service authority. The health service plan shall establish the facility's health care delivery system and detail the protocols for the delivery of medical, mental health, and dental services for all residents. The plan(s) shall include, at a minimum:
  (1) procedures for conducting health screenings and health assessments;
  (2) procedures for the referral of residents in need of medical attention, either self-reported or identified by staff, for medical, mental, and dental services;
  (3) procedures for emergency health care services;
  (4) procedures to ensure continuity of care in accordance with the instructions of the medical provider including, but not limited to, the delivery of treatment, medication, referrals, follow up, and medically modified diets;
  (5) procedures relating to informed consent for medical, dental, psychological, and surgical treatment, as well as consent relating to immunizations and counseling services;
  (6) procedures relating to procurement, distribution, dispensing, disposal, and accounting of prescription and over-the-counter medication;
  (7) procedures for performing all examinations, treatments, and other procedures in a confidential setting consistent with facility operations and security;
  (8) procedures for patient transportation and evacuation;
  (9) procedures for identification and control of communicable diseases;
  (10) procedures for staff education and training relating to the facility's health care delivery system;
  (11) procedures relating to first aid kit contents, location, and periodic inspections; and
  (12) procedures for pregnant residents to receive timely and appropriate prenatal care, specialized obstetrical services when indicated, and postpartum care. These procedures shall also include procedures for the safe and appropriate restraint (both physical and mechanical) of pregnant residents.
(b) Review of Health Service Plan. The health service plan shall be reviewed at least once every 24 months in consultation with the health service authority.

Source Note: The provisions of this §355.512 adopted to be effective November 15, 2013, 38 TexReg 7973