Passing Grades
Medicaid specific All residents, including, but not limited to private-
requirements apply to? pay. Medicaid applicants and recipients, VA
patients, and Medicare recipients, who are
admitted to and reside in a Medicaid certified
facility or a Medicaid-certified distinct part of a
facility. These requirements do not apply to SNFs
licensed under the Health and Safety Code Chapter
241, participating only in the Medicare program
Abuse Negligent or willful infliction of injury,
unreasonable confinement, intimidation, or
punishment with resulting physical or emotional
harm or pain to a resident; or sexual abuse,
including involuntary or nonconsensual sexual
conduct that would constitute an offense under
Penal Code §21.08 (indecent exposure) or Penal
Code Chapter 22 (assaultive offenses), sexual
harassment, sexual coercion, or sexual assault.
Act Chapter 242 of the Texas Health and Safety Code.
Admission MDS An MDS assessment that determines a recipient's
assessment initial determination of eligibility for medical
necessity for admission into the Texas Medicaid
Nursing Facility Program.
Advanced practice A person licensed by the Texas Board of Nursing as
registered nurse an advanced practice registered nurse.
Agent An adult to whom authority to make health care
decisions is delegated under a durable power of
attorney for health care.
APA The Administrative Procedure Act, Texas
Government Code, Chapter 2001.
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Attending physician A physician, currently licensed by the Texas Medical
Board, who is designated by the resident or
responsible party as having primary responsibility
for the treatment and care of the resident.
Authorized electronic The placement of an electronic monitoring device
monitoring in a resident's room and using the device to make
tapes or recordings after making a request to the
facility to allow electronic monitoring.
Barrier precautions Precautions including the use of gloves, masks,
gowns, resuscitation equipment, eye protectors,
aprons, face shields, and protective clothing for
purposes of infection control.
Care and treatment Services required to maximize resident
independence, personal choice, participation,
health, self-care, psychosocial functioning and
reasonable safety, all consistent with the
preferences of the resident.
Certification The determination by HHSC that a nursing facility
meets all the requirements of the Medicaid or
Medicare programs.
Change of ownership An event that results in a change to the federal
taxpayer identification number of the license
holder of a facility. The substitution of a personal
representative for a deceased license holder is not
a change of ownership.
CFR Code of Federal Regulations.
Complaint Any allegation received by HHSC other than an
incident reported by the facility. Such allegations
include, but are not limited to, abuse, neglect,
exploitation, or violation of state or federal
standards.
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, Passing Grades
Completion date The date an RN assessment coordinator signs an
MDS assessment as complete.
Comprehensive An interdisciplinary description of a resident's
assessment needs and capabilities including daily life functions
and significant impairments of functional capacity.
Comprehensive care plan A plan of care prepared by an interdisciplinary
team that includes measurable short-term and
long-term objectives and timetables to meet the
resident's needs developed for each resident after
admission. The plan addresses at least the
following needs: medical, nursing, rehabilitative,
psychosocial, dietary, activity, and resident's rights.
The plan includes strategies developed by the
team, consistent with the physician's prescribed
plan of care, to assist the resident in eliminating,
managing, or alleviating health or psychosocial
problems identified through assessment.
Comprehensive Care (A) goal setting;
Plan includes? (B) establishing priorities for management of care;
(C) making decisions about specific measures to be
used to resolve the resident's problems; and
(D) assisting in the development of appropriate
coping mechanisms.
Covert electronic The placement and use of an electronic monitoring
monitoring device that is not open and obvious, and the
facility and HHSC have not been informed about
the device by the resident, by a person who placed
the device in the room, or by a person who uses
the device.
DADS The term referred to the Department of Aging and
Disability Services; it now refers to HHSC.
DHS This term referred to the Texas Department of
Human Services; it now refers to HHSC, unless the
context concerns an administrative hearing.
Administrative hearings were formerly the
responsibility of DHS; they now are the
responsibility of the HHSC.
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, Passing Grades
Dietitian A qualified dietitian is one who is qualified based
upon either:
(A) registration by the Commission on Dietetic
Registration of the Academy of Nutrition and
Dietetics; or
(B) licensure, or provisional licensure, as a dietitian
under Texas Occupations Code, Chapter 701 and
one year of supervisory experience in dietetic
service of a health care facility.
Direct care by licensed Direct care consonant with the physician's planned
nurses regimen of total resident care includes:
(A) assessment of the resident's health care status;
(B) planning for the resident's care;
(C) assignment of duties to achieve the resident's
care;
(D) nursing intervention; and
(E) evaluation and change of approaches as
necessary.
Direct ownership interest Ownership of equity in the capital, stock, or profits
of, or a membership interest in, an applicant or
license holder.
Disclosure interest Five percent or more direct or indirect ownership
interest in an applicant or license holder.
Distinct part That portion of a facility certified to participate in
the Medicaid Nursing Facility program.
Drug (also referred to as Any of the following:
medication) (A) any substance recognized as a drug in the
official US Pharmacopoeia, official Homeopathic
Pharmacopoeia of the US, or official National
Formulary, or any supplement to any of them;
(B) any substance intended for use in the diagnosis,
cure, mitigation, treatment, or prevention of
disease in man;
(C) any substance (other than food) intended to
affect the structure or any function of the body of
man; and
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Medicaid specific All residents, including, but not limited to private-
requirements apply to? pay. Medicaid applicants and recipients, VA
patients, and Medicare recipients, who are
admitted to and reside in a Medicaid certified
facility or a Medicaid-certified distinct part of a
facility. These requirements do not apply to SNFs
licensed under the Health and Safety Code Chapter
241, participating only in the Medicare program
Abuse Negligent or willful infliction of injury,
unreasonable confinement, intimidation, or
punishment with resulting physical or emotional
harm or pain to a resident; or sexual abuse,
including involuntary or nonconsensual sexual
conduct that would constitute an offense under
Penal Code §21.08 (indecent exposure) or Penal
Code Chapter 22 (assaultive offenses), sexual
harassment, sexual coercion, or sexual assault.
Act Chapter 242 of the Texas Health and Safety Code.
Admission MDS An MDS assessment that determines a recipient's
assessment initial determination of eligibility for medical
necessity for admission into the Texas Medicaid
Nursing Facility Program.
Advanced practice A person licensed by the Texas Board of Nursing as
registered nurse an advanced practice registered nurse.
Agent An adult to whom authority to make health care
decisions is delegated under a durable power of
attorney for health care.
APA The Administrative Procedure Act, Texas
Government Code, Chapter 2001.
1/370
, Passing Grades
Attending physician A physician, currently licensed by the Texas Medical
Board, who is designated by the resident or
responsible party as having primary responsibility
for the treatment and care of the resident.
Authorized electronic The placement of an electronic monitoring device
monitoring in a resident's room and using the device to make
tapes or recordings after making a request to the
facility to allow electronic monitoring.
Barrier precautions Precautions including the use of gloves, masks,
gowns, resuscitation equipment, eye protectors,
aprons, face shields, and protective clothing for
purposes of infection control.
Care and treatment Services required to maximize resident
independence, personal choice, participation,
health, self-care, psychosocial functioning and
reasonable safety, all consistent with the
preferences of the resident.
Certification The determination by HHSC that a nursing facility
meets all the requirements of the Medicaid or
Medicare programs.
Change of ownership An event that results in a change to the federal
taxpayer identification number of the license
holder of a facility. The substitution of a personal
representative for a deceased license holder is not
a change of ownership.
CFR Code of Federal Regulations.
Complaint Any allegation received by HHSC other than an
incident reported by the facility. Such allegations
include, but are not limited to, abuse, neglect,
exploitation, or violation of state or federal
standards.
2/370
, Passing Grades
Completion date The date an RN assessment coordinator signs an
MDS assessment as complete.
Comprehensive An interdisciplinary description of a resident's
assessment needs and capabilities including daily life functions
and significant impairments of functional capacity.
Comprehensive care plan A plan of care prepared by an interdisciplinary
team that includes measurable short-term and
long-term objectives and timetables to meet the
resident's needs developed for each resident after
admission. The plan addresses at least the
following needs: medical, nursing, rehabilitative,
psychosocial, dietary, activity, and resident's rights.
The plan includes strategies developed by the
team, consistent with the physician's prescribed
plan of care, to assist the resident in eliminating,
managing, or alleviating health or psychosocial
problems identified through assessment.
Comprehensive Care (A) goal setting;
Plan includes? (B) establishing priorities for management of care;
(C) making decisions about specific measures to be
used to resolve the resident's problems; and
(D) assisting in the development of appropriate
coping mechanisms.
Covert electronic The placement and use of an electronic monitoring
monitoring device that is not open and obvious, and the
facility and HHSC have not been informed about
the device by the resident, by a person who placed
the device in the room, or by a person who uses
the device.
DADS The term referred to the Department of Aging and
Disability Services; it now refers to HHSC.
DHS This term referred to the Texas Department of
Human Services; it now refers to HHSC, unless the
context concerns an administrative hearing.
Administrative hearings were formerly the
responsibility of DHS; they now are the
responsibility of the HHSC.
3/370
, Passing Grades
Dietitian A qualified dietitian is one who is qualified based
upon either:
(A) registration by the Commission on Dietetic
Registration of the Academy of Nutrition and
Dietetics; or
(B) licensure, or provisional licensure, as a dietitian
under Texas Occupations Code, Chapter 701 and
one year of supervisory experience in dietetic
service of a health care facility.
Direct care by licensed Direct care consonant with the physician's planned
nurses regimen of total resident care includes:
(A) assessment of the resident's health care status;
(B) planning for the resident's care;
(C) assignment of duties to achieve the resident's
care;
(D) nursing intervention; and
(E) evaluation and change of approaches as
necessary.
Direct ownership interest Ownership of equity in the capital, stock, or profits
of, or a membership interest in, an applicant or
license holder.
Disclosure interest Five percent or more direct or indirect ownership
interest in an applicant or license holder.
Distinct part That portion of a facility certified to participate in
the Medicaid Nursing Facility program.
Drug (also referred to as Any of the following:
medication) (A) any substance recognized as a drug in the
official US Pharmacopoeia, official Homeopathic
Pharmacopoeia of the US, or official National
Formulary, or any supplement to any of them;
(B) any substance intended for use in the diagnosis,
cure, mitigation, treatment, or prevention of
disease in man;
(C) any substance (other than food) intended to
affect the structure or any function of the body of
man; and
4/370
