Standard: Patient reassessment.
P&Ps should include what the
facility considers to be definitions of the italicized words (italics
A comprehensive reassessment of
each patient and a revision of the plan of care shall be conducted—
(1) At least annually for
stable patients; and
(2) At least monthly for
unstable patients including, but
not limited to, patients with the following: (i) Extended or frequent
hospitalizations; (ii) Marked deterioration in health status; (iii)
Significant change in psychosocial needs;
or (iv) Concurrent poor nutritional
status, unmanaged anemia,
and inadequate dialysis.