R432-150-23. Ancillary Health Services

  (1) If the nursing care facility provides its own radiology services, these facility must comply with R432-100-22, Radiology Services, in the General Acute Hospital Rule.

  (2) A facility that provides specialized rehabilitative services may offer these services either directly or through agreements with outside agencies or qualified therapists. If provided, these services must meet the needs of the residents.

  (a) The facility must provide space and equipment for specialized rehabilitative services in accordance with the needs of the residents.

  (b) Specialized rehabilitative services may only be provided by therapists licensed in accordance with Utah law.

  (c) All therapy assistants must work under the direct supervision of the licensed therapist at all times.

  (d) Speech pathologists must have a "Certificate of Clinical Compliance" from the American Speech and Hearing Association.

  (e) Specialized rehabilitative services may be provided only if ordered by the attending physician.

  (i) The plan of treatment must be initiated by an attending physician and developed by the therapist in consultation with the nursing staff.

  (ii) An initial progress report must be submitted to the attending physician two weeks after treatment is begun or as specified by the physician.

  (iii) The physician and therapist must review and evaluate the plan of treatment monthly unless the physician recommends an alternate schedule in writing.

  (f) The facility must document the delivery of rehabilitative services in the resident record.

  (3) The facility must provide or arrange for regular and emergency dental care for residents.

  (a) Dental care provisions shall include:

  (b) development of oral hygiene policies and procedures with input from dentists;

  (c) presentation of oral hygiene in-service programs by knowledgeable persons;

  (d) development of referral service for those residents who do not have a personal dentist; and

  (e) arrangement for transportation to and from the dentist's office.