Current through Register No. 52, December 26, 2024
(a) Initial
inquiries or referrals for admission to Glencliff home shall be directed to the
admissions coordinator at Glencliff home.
(b) An application for admission to Glencliff
home shall:
(1) Be made in writing;
(2) Be made by:
a. The applicant;
b. A person acting with the consent of the
applicant; or
c. A person legally
authorized to act on behalf of the applicant;
(3) Contain the following information
regarding the applicant:
a. Name, address,
sex, and birth date;
b. Birthplace
and citizenship status;
c.
Diagnosis;
d. Guardianship
status;
e. Name, address, and
telephone number of physician(s);
f. History of previous hospitalization(s) for
psychiatric treatment;
g.
Description of self-care abilities and physical functioning;
h. Adaptive equipment needed;
i. Medical history, including history of TB
testing;
j. Medical status,
including:
1. Allergies;
2. Medications currently prescribed;
and
3. Evaluation of current mental
status;
k. Therapeutic
and rehabilitative services needed;
l. Social history;
m. Financial assets, including:
1. Insurance benefits;
2. Entitlements;
3. Pension benefits; and
4. Other benefits; and
n. Source of payment for care at Glencliff
home;
(4) Contain
written authorization permitting medical and psychiatric facilities and
personnel that are providing or have provided care and treatment to the
applicant to release clinical and medical records concerning the applicant to
Glencliff home; and
(5) Be made
only after the applicant has obtained a determination of eligibility for
nursing facility level of care from the bureau of elderly and adult services of
the department in accordance with
He-E
802.05, if the applicant is a medical assistance
recipient.
(c) An
applicant or applicant representative shall send an application and related
material to the admissions coordinator at Glencliff home.
(d) Within 15 days of receipt of an
application, excluding weekends and state legal holidays, the administrator or
his or her designee shall review the application and related material and shall
take action as required by
He-M
701.05.
(e) If the administrator or his or her
designee determines that application information is insufficient to establish
eligibility for admission, the administrator or designee shall:
(1) Notify the applicant of the name,
address, official title, and telephone number of the Glencliff employee who may
be contacted regarding the application;
(2) Take steps necessary to obtain the needed
information and make a determination of eligibility in accordance with
He-M
701.03, if possible, including:
a. Notifying the applicant of any apparent
errors or omissions; and
b.
Requesting any additional information required by (b) above; and
(3) Deny the application if
necessary information is not provided pursuant to (2) above and inform the
applicant in writing of the following:
a. The
fact that sufficient information to determine eligibility has not been provided
or obtained;
b. The specific,
additional information which is needed; and
c. The right of the applicant to resubmit the
application at any time.
(f) If the administrator or his or her
designee finds that sufficient information is available to determine
eligibility for admission, the administrator or designee shall either:
(1) Approve eligibility for admission and
inform the applicant in writing of the approval if the applicant meets all of
the criteria for admission; or
(2)
Deny eligibility for admission if the applicant does not meet one or more of
the eligibility criteria in
He-M
701.03 and, within 10 days of the determination, issue
written notification to the applicant and, if applicable, his or her guardian
of the denial and the specific criteria not met.
#2817, eff 8-16-84; EXPIRED: 8-16-90
New. #5224, eff 9-12-91,
EXPIRED: 9-12-97
New. #7165, eff 12-18-99,
EXPIRED: 12-18-07
New. #9502, eff
7-3-09
