Section R9-10-408. Discharge

A.      An administrator shall ensure that:

1.        A resident is transferred or discharged if:

a.         The nursing care institution 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 nurs- ing care institution; 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 nursing care institution services as determined by a physi- cian or the physician’s designee;

d.        A notation by a physician or the physician's desig- nee 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 resi- dent’s behavior is a threat to the health and safety of the resident or other individuals in the nursing care institution.

B.       An administrator may transfer or discharge a resident for fail- ure to pay for residency if:

1.        The resident or resident's representative receives a 30-day written notice of transfer or discharge, and

2.        The 30-day written notice includes an explanation of the resident's right to appeal the transfer or discharge.

C.      Except in an emergency, a director of nursing shall ensure that before a resident is discharged:

1.        Written follow-up instructions are developed with the res- ident or the resident's representative that includes:

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 is developed by a personnel mem- ber and authenticated by the resident's attending physi- cian or designee and includes:

a.         The resident's medical condition at the time of trans- fer or discharge,

b.        The resident's medical and psychosocial history,

c.         The date of the transfer or discharge, and

d.        The location of the resident after discharge.

Historical Note

New Section R9-10-408 made by exempt rulemaking at 19 A.A.R. 2015, effective October 1, 2013 (Supp. 13-2). Amended by exempt rulemaking at 20 A.A.R. 1409, pur- suant to Laws 2013, Ch. 10, § 13; effective July 1, 2014

(Supp. 14-2).