Wyo. Code R. 048-0062-7
Wyoming Life Resource Center
Chapter 7: Mountain View Skilled Nursing Facility
Effective Date: 07/05/2022 to Current
Rule Type: Current Rules & Regulations
Reference Number: 048.0062.7.07052022
(a) This chapter has been adopted to establish the criteria for eligibility to the Mountain View Skilled Nursing Facility (Mountain View SNF), and to establish the admission and discharge processes.
(a) An individual is eligible for admission to the Mountain View SNF if:
(i) The individual meets one or more of the following:
(A) Persons with neurocognitive disorder who manifest exceptionally difficult behaviors;
(B) Persons with high medical need, including but not limited to, those who qualify for Medicaid extraordinary care; or
(C) Persons who are hard to place.
(ii) The individual has been determined to meet nursing facility level of care.
(b) The Mountain View SNF may establish a waiting list pursuant to the following criteria:
(i) An individual is eligible for admission to the Mountain View SNF; and
(ii) Any one of the following:
(A) Services are unavailable due to facility licensing constraints;
(B) Services are unavailable due to limits imposed by funding; or
(C) Services are unavailable due to lack of capacity.
(a) The individual shall submit a request for admission to the Mountain View SNF.
(b) The formal review, including preadmission screening and assessment, shall be completed within thirty (30) calendar days of Mountain View SNF determination that an application packet is complete.
(i) The Mountain View SNF shall determine membership of the screening team. The screening team shall consist of a core group of qualified professionals with knowledge of the admission and eligibility processes.
(c) Prior to the thirty (30) calendar day formal review deadline, the screening team shall make a recommendation regarding the application for admission to the Senior Administrator.
(i) The Senior Administrator shall review recommendation and make a determination for approval or denial of the application for admission within ten (10) calendar days of receiving the recommendation.
(A) Mountain View SNF shall notify the applicant in writing of the Senior Administrator’s determination within two (2) business days of the determination.
(ii) If the results of the preadmission screening and assessment indicate the individual would be more appropriately served by a community nursing home, community program, or at home, the screening team shall recommend denial to the Senior Administrator.
(d) When the applicant is approved for admission, the Mountain View SNF shall assign an interdisciplinary team to the individual. Mountain View SNF shall schedule a transition meeting to include the applicant, and referring agency representative, if applicable, to coordinate transition to the Mountain View SNF.
(e) The Mountain View SNF shall require each resident admitted to the Mountain View SNF for residential services to sign an admission agreement and complete an admission packet to identify responsible parties and reflect potential charges.
(a) Upon admission, the Mountain View SNF shall begin person-centered care planning pursuant to 42 CFR 483.21, as driven by the Minimum Data Set (MDS) assessment administration process.
(i) The interdisciplinary team shall develop a baseline person-centered care plan within forty-eight (48) hours of admission that meets professional standards of quality care.
(ii) The Mountain View SNF shall develop a comprehensive care plan within seven (7) calendar days after completion of the comprehensive assessments.
(iii) The Mountain View SNF shall share summary information included in the baseline and comprehensive person-centered care plans with the resident upon request.
(iv) The Mountain View SNF shall ensure person-centered care plans incorporate strengths, needs, personal and cultural preferences, and the resident’s preference and potential for discharge. The Mountain View SNF shall also ensure services outlined in the person-centered care plan translate into medical treatment, nursing related treatment, behavioral based approaches, applicable therapies, and activity preferences.
(b) The resident’s interdisciplinary team shall review the person-centered care plan after each subsequent assessment and in accordance with the MDS care planning schedule.
(a) In the event a resident is transferred for temporary care or treatment under W.S. § 25-5-125, the Mountain View SNF will hold the bed for a maximum of thirty (30) calendar days.
(i) If it is anticipated that the absence will exceed thirty (30) calendar days, the resident shall make a request for a bed hold extension to the Mountain View SNF.
(b) In accordance with 42 CFR 483.15(c), the Mountain View SNF shall ensure transfer planning is conducted in order to provide a safe transition in accordance with the resident’s needs and preferences whenever possible. The Mountain View SNF shall invite the resident to be involved in the transfer process.
(i) The Mountain View SNF shall integrate the individualized transfer plan into the comprehensive care plan. The interdisciplinary team shall develop the comprehensive care plan in consultation with the resident.
(a) The Mountain View SNF shall begin discharge planning at admission. The Mountain View SNF shall ensure discharge planning is conducted in order to provide a safe transition in accordance with the resident’s needs and preferences whenever possible. The Mountain View SNF shall invite the resident to be involved in the process to ensure the resident has the tools necessary to be successful at their next destination. The Mountain View SNF’s discharge planning process shall be consistent with discharge rights set forth at W.S. 25-5-124.
(b) The Mountain View SNF shall formally discharge the resident with written notification to the resident; the court shall be notified, as appropriate.