Resident Demographics & Comprehensive Health Assessment (Comp Assessment)

This comprehensive health assessment is required by the Texas Administrative Code 553.259 (b). The comprehensive health assessment should be the tool that gives a synopsis of the residents’ health, life, needs, desires, and concerns.

Comprehensive health assessments must include:

• the location from which the resident was admitted
• primary language
• sleep-cycle issues
• behavioral symptoms
• psychosocial issues
• Alzheimer's/dementia history
• activities of daily living patterns
• involvement patterns and preferred activity pursuits
• cognitive skills for daily decision-making
• communication ability
• physical functioning (transfer status; ambulation status; toilet use; personal hygiene; ability to dress, feed and groom self
• continence status
• nutritional status (weight changes, nutritional problems, or approaches)
• oral/dental status
• diagnoses
• medications (administered, supervised, self-administered)
• health conditions and possible medication side effects
• special treatments and procedures
• hospital admissions within the past six months or since last assessment
• preventive health needs
• TB testing (best practices)

Assessment must:



• be completed within 14 days of admission, annual renewal, or resident change of condition by the owner and/or manager of the facility
• notify residents or legally authorized representatives of updates to resident information they did not provide
• notify residents and/or legally authorized representative prior to admission, annually, change of condition of Comprehensive Assessment