A. State Practice Act.
B. State Department of Health conditions of participation for home health agencies.
C. If a skilled care agency:
1. Medicare certification requires RN only performing assessments.
Conditions of Participation: Home Health Agencies
PART 484--CONDITIONS OF PARTICIPATION: HOME HEALTH AGENCIES--Table of Contents
Subpart A--General Provisions
Sec. 484.4 Personnel qualifications.
Staff required to meet the conditions set forth in this part are
staff who meet the qualifications specified in this section.
Administrator, home health agency. A person who:
(a) Is a licensed physician; or
(b) Is a registered nurse; or
(c) Has training and experience in health service administration and at least 1
year of supervisory or administrative experience in home health care or related
Sec. 484.30 Condition of participation: Skilled nursing services.
The HHA furnishes skilled nursing services by or under the
supervision of a registered nurse and in accordance with the plan of
(a) Standard: Duties of the registered nurse. The registered nurse
makes the initial evaluation visit, regularly reevaluates the patient's
nursing needs, initiates the plan of care and necessary revisions,
furnishes those services requiring substantial and specialized nursing
skill, initiates appropriate preventive and rehabilitative nursing
procedures, prepares clinical and progress notes, coordinates services,
informs the physician and other personnel of changes in the patient's
condition and needs, counsels the patient and family in meeting nursing
and related needs, participates in in-service programs, and supervises
and teaches other nursing personnel.
(b) Standard: Duties of the licensed practical nurse. The licensed
practical nurse furnishes services in accordance with agency policies,
prepares clinical and progress notes, assists the physician and
registered nurse in performing specialized procedures, prepares
equipment and materials for treatments observing aseptic technique as
required, and assists the patient in learning appropriate self-care
2. Medicaid only certified: follows Medicare rules.
At worst, agency Might wind up repaying all monies received for medicaid clients.
Available via PM for more info if desired.