Current through Register Vol. 41, No. 3, September 23, 2024
A. At or prior to the time of admission,
there shall be a written agreement/acknowledgment of notification dated and
signed by the resident or applicant for admission or the appropriate legal
representative, and by the licensee or administrator. This document shall
include the following:
1. Financial
arrangement for accommodations, services, and care that specifies:
a. Listing of specific charges for
accommodations, services, and care to be made to the individual resident
signing the agreement, the frequency of payment, and any rules relating to
nonpayment;
b. Description of all
accommodations, services, and care that the facility offers and any related
charges;
c. For an auxiliary grant
recipient, a list of services included under the auxiliary grant
rate;
d. The amount and purpose of
an advance payment or deposit payment and the refund policy for such payment,
except that recipients of auxiliary grants may not be charged an advance
payment or deposit payment;
e. The
policy with respect to increases in charges and length of time for advance
notice of intent to increase charges;
f. If the ownership of any personal property,
real estate, money or financial investments is to be transferred to the
facility at the time of admission or at some future date, it shall be
stipulated in the agreement; and
g.
The refund policy to apply when transfer of ownership, closing of facility, or
resident transfer or discharge occurs.
2. Requirements or rules to be imposed
regarding resident conduct and other restrictions or special
conditions.
3. Those actions,
circumstances, or conditions that would result or might result in the
resident's discharge from the facility.
4. Specific acknowledgments that:
a. Requirements or rules regarding resident
conduct, other restrictions, or special conditions have been reviewed by the
resident or his legal representative;
b. The resident or his legal representative
has been informed of the policy regarding the amount of notice required when a
resident wishes to move from the facility;
c. The resident has been informed of the
policy required by
22VAC40-73-840 regarding pets
living in the facility;
d. The
resident has been informed of the policy required by
22VAC40-73-860 K regarding
weapons;
e. The resident or his
legal representative or responsible individual as stipulated in
22VAC40-73-550 H has reviewed
§
63.2-1808
of the Code of Virginia, Rights and Responsibilities of Residents of Assisted
Living Facilities, and that the provisions of this statute have been explained
to him;
f. The resident or his
legal representative or responsible individual as stipulated in
22VAC40-73-550 H has reviewed and
had explained to him the facility's policies and procedures for implementing
§
63.2-1808
of the Code of Virginia;
g. The
resident has been informed and had explained to him that he may refuse release
of information regarding his personal affairs and records to any individual
outside the facility, except as otherwise provided in law and except in case of
his transfer to another caregiving facility, notwithstanding any requirements
of this chapter;
h. The resident has
been informed that interested residents may establish and maintain a resident
council, that the facility is responsible for providing assistance with the
formation and maintenance of the council, whether or not such a council
currently exists in the facility, and the general purpose of a resident council
(See 22VAC40-73-830);
i. The resident has been informed of the bed
hold policy in case of temporary transfer or movement from the facility, if the
facility has such a policy (See
22VAC40-73-420 B);
j. The resident has been informed of the
policy or guidelines regarding visiting in the facility, if the facility has
such a policy or guidelines (See
22VAC40-73-540 C);
k. The resident has been informed of the
rules and restrictions regarding smoking on the premises of the facility,
including that which is required by
22VAC40-73-820;
l. The resident has been informed of the
policy regarding the administration and storage of medications and dietary
supplements;
m. The resident has
been notified in writing whether or not the facility maintains liability
insurance that provides at least the minimum amount of coverage established by
the board for disclosure purposes set forth in 22VAC40-73-45 to compensate
residents or other individuals for injuries and losses from negligent acts of
the facility. The facility shall state in the notification the minimum amount
of coverage established by the board in 22VAC40-73-45. The written notification
must be on a form developed by the department; and
n. The resident has received written
assurance that the facility has the appropriate license to meet his care needs
at the time of admission, as required by
22VAC40-73-310
D.
B. Copies
of the signed agreement/acknowledgment and any updates as noted in subsection C
of this section shall be provided to the resident and, as appropriate, his
legal representative and shall be retained in the resident's record.
C. The original agreement/acknowledgment
shall be updated whenever there are changes to any of the policies or
information referenced or identified in the agreement/acknowledgment and dated
and signed by the licensee or administrator and the resident or his legal
representative.
Statutory Authority: §§
63.2-217, 63.2-1732, 63.2-1802, 63.2-1805 , and 63.2-1808
of the Code of Virginia.