Mich. Admin. Code R. 400.2403 - Admission and discharge
Rule 403.
(1) A
congregate facility shall have a written admission policy which shall be posted
in a conspicuous public area of the facility. The department's assistance in
establishing the policy is available upon request of a licensee.
(2) A prospective resident or his guardian,
if the prospective resident is legally incompetent, shall exercise free choice
in the selection of a foster care congregate facility. The department shall
determine if the congregate facility is capable of meeting an individual's
needs.
(3) A person shall not be
denied admission to or discharged from a congregate facility because of race,
religion, color, or national origin.
(4) In administering or managing a congregate
facility, an licensee or an administrator shall not accept or keep a person
whose behavior requires isolation or restraint. A person shall not be admitted
to a congregate facility whose present care requirements and service needs are
incompatible with those of other residents in the facility. This subrule shall
not be used to circumvent subrule (3).
(5) An admission prerequisite for persons
transferring from another residential setting, nursing home, or medical
institution is a current written assessment plan outlining the specific service
appropriate to the resident's needs and the method of providing the service.
With a resident's consent, an individual not having a responsible agency shall
have an assessment plan completed by department workers and filed in the
resident's record at the congregate facility within 30 days after admission to
the congregate facility.
(6) Upon
admission a resident's record shall contain information obtained from the
resident, his next of kin or legal guardian, or responsible agency indicating
persons to be notified of an emergency, including the preferred physician or
hospital and instructions for emergency care.
(7) An individual admitted shall have had a
health appraisal completed within the previous 90 days or in emergency
admissions shall obtain the appraisal within 30 days of admission.
(8) A congregate facility licensee shall
report all new admissions and discharges to the department in a manner
prescribed by the department.
(9) A
resident shall not be discharged from a congregate facility without adequate
preparation, including a determination that a move is in a resident's best
interest. At the time of discharge the responsible agency or the department of
social services shall update the assessment plan to provide for continuity in
achieving objectives. A congregate facility shall record the date of discharge,
the reason for discharge, the disposition of money and valuables held for
safekeeping, and a forwarding address of the resident, or a relative, guardian
or other adult. The foregoing does not restrict the resident's ability to make
his own living arrangements.
(10)
The express wishes of the resident shall be considered in all movements to and
from a congregate facility.
(11) A
bedfast person or one requiring continuous and constant professional nursing
care shall not be accommodated in a congregate facility. This does not preclude
the accommodation of a resident who is temporarily ill and bedfast but who does
not require professional nursing.
Notes
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No prior version found.