California requires a specific Bedridden Plan of Care before an RCFE can admit or retain any bedridden resident. This document covers all mandatory elements under H&SC §1569.72 and CCR §87606.
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A Bedridden Plan of Care is a written document required by CDSS before an RCFE can admit or retain any resident who is bedridden. It must address fire safety clearance, positioning schedules, skin integrity monitoring, transfer protocols, physician involvement, and staffing obligations.
Under CCR §87606, a bedridden resident is one who is unable to turn themselves in bed, requires assistance with all transfers, and spends the majority of time in bed. Admitting a bedridden resident without an approved plan of care is a CDSS citation.
Yes. CCR §87606 requires that a licensed physician certify that the facility can meet the resident's needs. The physician certification language and signature block are included in this document.
Admitting or retaining a bedridden resident without an approved plan is a Type B deficiency under CDSS inspection protocols, which can result in a civil penalty, a correction plan requirement, and in severe cases, a license action.
The plan should be reviewed and updated whenever the resident's condition changes significantly, after any fall or skin integrity incident, and at least every six months as part of the regular care plan review cycle.