Arizona Administrative Code
Title 9 - HEALTH SERVICES
Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING
Article 5 - INTERMEDIATE CARE FACILITIES FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES
Section R9-10-508 - Transfer; Discharge

Universal Citation: AZ Admin Code R 9-10-508

Current through Register Vol. 30, No. 38, September 20, 2024

A. An administrator, in coordination with the Arizona Department of Economic Security, Division of Developmental Disabilities, shall ensure that:

1. A resident is transferred or discharged if:
a. The ICF/IID is not authorized or not able to meet the needs of the resident, or

b. The resident's behavior is a threat to the health or safety of the resident or other individuals at the ICF/IID; and

2. Documentation of a resident's transfer or discharge includes:
a. The date of the transfer or discharge;

b. The reason for the transfer or discharge;

c. A 30-day written notice except:
i. In an emergency, or

ii. If the resident no longer requires rehabilitation services or habilitation services as determined by a physician or the physician's designee;

d. A notation by a physician or the physician's designee if the transfer or discharge is due to any of the reasons listed in subsection (A)(1); and

e. If applicable, actions taken by a personnel member to protect the resident or other individuals if the resident's behavior is a threat to the health and safety of the resident or other individuals in the ICF/IID and beyond the ICF/IID's scope of services.

B. Except for a transfer of a resident due to an emergency, an administrator shall ensure that:

1. A qualified intellectual disabilities professional or, if the resident has a nursing care plan or medical care plan, a registered nurse coordinates the transfer and the services provided to the resident;

2. According to policies and procedures:
a. An evaluation of the resident is conducted before the transfer;

b. Information from the resident's medical record, including orders that are in effect at the time of the transfer, is provided to a receiving health care institution; and

c. A personnel member explains risks and benefits of the transfer to the resident or the resident's representative; and

3. Documentation in the resident's medical record includes:
a. Communication with an individual at a receiving health care institution;

b. The date and time of the transfer;

c. The mode of transportation; and

d. If applicable, the name of the personnel member accompanying the resident during a transfer.

C. Except in an emergency, a qualified intellectual disabilities professional or, if the resident has a nursing care plan or medical care plan, a registered nurse shall ensure that before a resident is discharged:

1. Written follow-up instructions are developed with the resident or the resident's representative that include:
a. Information necessary to meet the resident's need for medical services and nursing services; and

b. The state long-term care ombudsman's name, address, and telephone number;

2. A copy of the written follow-up instructions is provided to the resident or the resident's representative; and

3. A discharge summary:
a. Is developed by a qualified intellectual disabilities professional or, if the resident has a nursing care plan or medical care plan, a registered nurse;

b. Authenticated by the resident's attending physician or designee; and

c. Includes:
i. The resident's need for rehabilitation services or habilitation services at the time of transfer or discharge;

ii. The resident's need for medical services or nursing services;

iii. The resident's developmental, behavioral, social, and nutritional status;

iv. The resident's medical and psychosocial history;

v. The date of the discharge; and

vi. The location of the resident after discharge.

Disclaimer: These regulations may not be the most recent version. Arizona may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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