Ariz. Admin. Code § R9-10-2208 - Transfer; Discharge

A. An administrator, in coordination with the Division if applicable, shall ensure that:

1. A resident is transferred or discharged if:

a. The nursing-supported group home is not authorized or not able to meet the needs of the resident,

b. The resident no longer requires continuous nursing services, or

c. The resident's behavior is a threat to the health or safety of the resident or other individuals at the nursing-supported group home; 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 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

d. 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 nursing-supported group home and beyond the nursing-supported group home's scope of services.

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

1. 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 the following, is provided to a receiving health care institution;

i. Orders that are in effect at the time of the transfer; and

ii. The resident's need for nursing services, rehabilitation services, or habilitation services at the time of transfer; 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 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, including specific care instructions and whether the resident requires any durable medical equipment or supplies; 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 registered nurse;

b. Authenticated by the resident's designated medical practitioner or designee; and

c. Includes:

i. The resident's need for nursing services, rehabilitation services, or habilitation services at the time of discharge;

ii. The resident's need for medical 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.

Notes

Ariz. Admin. Code § R9-10-2208

New Section made by final exempt rulemaking at 28 A.A.R. 927, effective 4/15/2022.