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Phase 3: Operational Compliance & Resident Care Excellence

Once licensed, this phase focuses on establishing and maintaining robust operational systems, policies, and procedures to ensure high-quality resident care and ongoing compliance with Texas regulations.

Key Objective 1: Comprehensive Policies & Procedures Manual

Develop, implement, and maintain a detailed Policies and Procedures (P&P) manual covering all aspects of facility operation, as mandated by TAC §553.41(a).

  • Cover areas such as resident admission/discharge, assessments, service planning, medication management, resident rights, staffing, training, emergency procedures, infection control, record keeping, etc.
  • Ensure policies are specific to your facility type (A or B) and services offered (e.g., Alzheimer's care).
  • Regularly review and update the manual to reflect changes in regulations or facility practices.
  • Staff must be trained on all relevant policies and procedures.

Utilize our Policy Templates Toolkit as a starting point.

Key Objective 2: Resident Admission, Review, and Dismissal (ARD) Process

Implement a compliant and thorough ARD process (TAC §553.41(c), §553.43, §553.44).

  • Pre-admission Screening: Ensure the facility can meet the prospective resident's needs.
  • Admission Agreement: A comprehensive contract outlining services, fees, rights, and responsibilities.
  • Initial Assessment: Conduct a thorough assessment of the resident's needs upon admission as per TAC §553.45.
  • Individualized Service Plan (ISP): Develop a person-centered ISP based on the assessment, outlining care and services to be provided.
  • Regular Reassessments and ISP Updates: Periodically review and update assessments and ISPs.
  • Compliant Discharge/Transfer Procedures: Follow regulatory requirements for resident discharge or transfer.

Our Resident ARD Process Toolkit provides detailed guidance and forms.

Key Objective 3: Medication Management Compliance

Establish and follow strict medication management protocols according to TAC §553, Subchapter C, Division 4 (Medication Administration for Type B) or Division 3 (Assistance with Medication for Type A).

  • Secure storage of medications.
  • Accurate medication administration records (MARs).
  • Proper disposal of unused/expired medications.
  • Staff training and competency in medication assistance/administration.
  • Protocols for medication errors and adverse drug reactions.

Key Objective 4: Staffing, Training, & Competency

Maintain adequate, qualified, and well-trained staff (TAC §553.61, §553.65, §553.66).

  • Ensure sufficient staff are on duty 24/7 to meet resident needs.
  • Provide initial orientation and ongoing training on topics like resident rights, abuse/neglect prevention, infection control, emergency procedures, and specific resident conditions (e.g., dementia care if applicable).
  • Verify staff competencies for assigned tasks.
  • Maintain complete personnel records, including training documentation and background checks.

Explore our Staff Training Curricula Toolkit.

Key Objective 5: Documentation, Record-Keeping, & Reporting

Maintain accurate and complete records as required by various TAC sections (e.g., TAC §553.41(l), §553.28).

  • Resident records (assessments, ISPs, MARs, progress notes).
  • Staff records (applications, background checks, training, competency evals).
  • Operational records (menus, emergency drills, incident reports, maintenance logs).
  • Ensure records are legible, current, and securely stored.
  • Understand and comply with mandatory reporting requirements (e.g., incidents, abuse/neglect allegations to HHSC and other agencies).