(1) The licensee
shall have written policies and procedures for admission of a resident to
include:
(a) a resident is admitted for
treatment and care only if the facility is properly licensed for the treatment
required and has the staff and resources to meet the medical, physical and
emotional needs of the resident;
(b) a resident is admitted by, and remains
under the care of, a physician or individual licensed to prescribe care for the
resident;
(c) there is written
order for admission and care at the time of admission;
(d) a resident is assessed within seven days
of admission unless otherwise indicated by a program requirement;
(e) admission policy shall define the
assessment process, including an identification of the resident's medical,
nursing, social, physical and emotional needs;
(f) the attending physician or authorized,
licensed individual perform a physical examination;
(g) upon admission, the licensee documents a
brief narrative of the resident's condition, including temperature, pulse,
respiration, blood pressure and weight;
(h) the licensee informs each resident of
their rights upon admission;
(i) a
written copy of the facility's resident rights is explained and given to the
resident;
(j) if the resident
cannot comprehend the resident rights, the licensee shall provide a written
copy to the next of kin or other responsible party; and
(k) the licensee shall document any inability
of the resident to provide consent in the resident record.
(2) The licensee may discharge or transfer a
resident for any of the following reasons:
(a)
the licensee is no longer able to meet the resident's identified
needs;
(b) the resident poses a
threat to themself or others; or
(c) the resident or responsible person wishes
to transfer.
(3) Upon
discharge of a resident, the licensee shall surrender funds and valuables of
the resident that have been entrusted to the licensee to the resident in
exchange for a signed receipt.
(4)
The licensee shall issue a discharge notice to the resident and responsible
person 30 days before discharge, unless an immediate discharge is necessary to
protect the resident.
(5) A
physician shall issue an order for the resident discharge, along with a summary
of the resident's condition, treatment and final disposition in the medical
record.
