Instructions for Form FA-19 Level of Care Assessment Form for Nursing Facilities - Nevada

Form FA-19 Level of Care Assessment for Nursing Facilities - Nevada

This document contains official instructions for Form FA-19 , Level of Care Assessment Form for Nursing Facilities - a form released and collected by the Nevada Department of Health and Human Services. An up-to-date fillable Form FA-19 is available for download through this link.

FAQ

Q: What is Form FA-19?
A: Form FA-19 is a Level of Care Assessment Form for Nursing Facilities in Nevada.

Q: Why is Form FA-19 used?
A: Form FA-19 is used to determine the level of care needed by residents in nursing facilities in Nevada.

Q: Who needs to complete Form FA-19?
A: Form FA-19 needs to be completed by the healthcare professional responsible for the resident's care.

Q: What information is required on Form FA-19?
A: Form FA-19 requires information about the resident's medical conditions, functional abilities, and assistance needed.

Q: Can a resident or family member complete Form FA-19?
A: No, Form FA-19 should be completed by the healthcare professional responsible for the resident's care.

Q: What happens after Form FA-19 is completed?
A: After Form FA-19 is completed, it is reviewed by the Division of Health Care Financing and Policy to determine the resident's level of care.

Q: Is there a deadline for submitting Form FA-19?
A: Yes, Form FA-19 should be completed and submitted within 30 days of the initial admission to a nursing facility.

Q: Can Form FA-19 be updated or revised?
A: Yes, if there are significant changes in the resident's medical condition or level of care needed, Form FA-19 can be updated or revised.

Q: Who can I contact for more information about Form FA-19?
A: For more information about Form FA-19, you can contact the Nevada Division of Health Care Financing and Policy.