Specifications include, but are not limited to: The Physician shall review the resident's total program of care, including medications and treatments, and examine the resident personally at each visit required under the provision of the rule. Physician must write, sign and date progress notes at each visit, and sign and date all orders. The resident shall be seen face to face by the physician within 5 days prior to admission or within 72 hours after admission, and as the resident's condition warrants. A nursing home shall assure that physician visits occur clinically indicated for the resident. After the 90-day requirement has expired, the physician shall visit every 60 days and as the resident's condition warrants. Except provided under the provisions of this rule all required physician visits shall be made by the physician personally. After the initial visit at the option of the physician the required visit every 60 days may be altered between personal visits by the physician and by the physician's assistant, nurse practitioner or clinical nurse specialist under the provisions of this rule.