Minnesota Nursing Home Admission Orders and Physician Evaluation Rules
Pursuant to Minnesota Administrative Rule 4658.0710, ADMISSIONS ORDERS AND PHYSICIAN EVALUATIONS, Subpart 1, physical examination. A resident must have a current admission medical history and complete physical examination performed and recorded by a physician, physician assistant, or nurse practitioner within five days before or within seven days after admission.
Subp. 2. Admission orders. A nursing home must have physician orders for a resident’s admission and immediate care at the time of admission.
Subp. 3. Frequency of physician evaluations.
A. A resident must be evaluated by a physician at least once every 30 days for the first 90 days after admission, and then whenever medically necessary. A physician visit is considered timely if it occurs within ten days after the date the visit was required.
B. Except as provided in this item, all required physician visits must be made by the physician personally. At the option of the physician, required visits after the initial visit may alternate between personal visits by the physician and visits by a physician assistant or nurse practitioner according to parts 5600.2600 to 5600.2670, chapters 6330 and 6340, and Minnesota Statutes, sections 147.34 and 148.235.
Subp. 4. Physician visits. At each visit, a physician or physician’s designee must:
A. review the resident’s comprehensive plan of care, including medications and treatments, and progress notes;
B. write, sign, and date physician progress notes; and
C. sign and date all orders.
According to Minnesota Administrative Rule 4658.0715, MEDICAL INFORMATION FOR CLINICAL RECORD, a physician or physician designee must provide the following information for the clinical record:
A. the report of the admission history and physical examination;
B. the admitting diagnosis;
C. a description of the general medical condition, including disabilities and limitations;
D. a report of subsequent physical examinations;
E. instructions relative to the resident’s total program of care;
F. written orders for all medications with stop dates, treatments, rehabilitations, and any medically prescribed special diets;
G. progress notes;
H. any advanced directives; and
I. condition on discharge or transfer, or cause of death.
Nursing Home Abuse and Neglect Attorney Kenneth LaBore has decades of experience and handles the following types of elder abuse claims and others:
Infectious Diseases (MRSA, C-Diff)
Violation of Resident Rights
Patient Lift Injuries and Other Improper Use of Medical Equipment
For a Free Consultation to obtain information on how to hold negligent wrongdoers accountable from an experienced elder abuse attorney contact Minneapolis Elder Abuse Neglect Attorney Kenneth LaBore at 612-743-9048 or Toll Free at 1-888-452-6589, email: KLaBore@MNnursinghomeneglect.com.