LTC Test 3 Regulations & Survey Process
Resident Rights
1. Access to Records: - Residents have the right to: - Immediate access to their current active clinical record. - Access to all other personal records upon oral or written request within 24 hours.
2. Health Information: - Right to be fu...
LTC Test 3 Regulations & Survey Process
Resident Rights
1. Access to Records:
- Residents have the right to:
- Immediate access to their current active clinical record.
- Access to all other personal records upon oral or written request within 24 hours.
2. Health Information:
- Right to be fully informed of their total health status.
- Right to refuse treatment, with required documentation that includes counseling on medical
consequences of refusal.
3. Notification of Changes:
- Right to be informed at least 30 days in advance of any changes in rates or services.
4. Legal Rights Description:
- Upon admission, facilities must provide a written description of legal rights, which includes:
- Protection of personal funds.
- Information about filing a complaint regarding abuse, neglect, or misappropriation of property.
- Contact information for relevant agencies and support services (e.g., Department of Family and
Social Services, Ombudsman, Adult Protective Services).
5. Facility Information Display:
- Must be prominently displayed and provided to residents and applicants, including:
- Information on applying for and using Medicare/Medicaid benefits.
- Refund processes for payments previously covered by those benefits.
6. Physician Information:
, - Residents must be informed of the name, specialty, and contact information for the physician
responsible for their care.
7. Management of Resident Funds:
- Residents have the right to manage their own financial affairs, including:
- Not being required to deposit personal funds with the facility.
- Facilities must hold and manage personal funds with written authorization.
- Personal funds exceeding $50 must be kept in an interest-bearing account separate from the
facility's operating account, with interest credited to the resident's account.
- Facilities must provide access to these funds during normal business hours and return them within
15 days upon written request.
8. Grievance Rights:
- Rights include:
- Voicing grievances without discrimination.
- Receiving prompt efforts by the facility to resolve grievances.
- Recommending policy changes and receiving reasonable responses without fear of reprisal.
- Facilities must have policies for investigating and responding to complaints.
9. Access and Visitation Rights:
- Facilities must provide reasonable visiting hours, at least 9 hours a day.
10. Transfer and Discharge Rights:
- Residents must not be transferred or discharged without cause. Reasons include:
- Necessary for the resident's welfare, if needs cannot be met.
- Health improvements that warrant a transfer.
- Safety concerns for the resident.
- Failure to pay after reasonable notice.
- Facility ceases to operate.
, ---
### Nursing Services
1. Staffing Requirements:
- Facilities must ensure sufficient nursing staff to deliver services that maintain residents' physical,
mental, and psychosocial well-being as per resident assessments and care plans.
2. Nursing Schedule:
- Must provide:
- A licensed nurse hour-to-resident ratio of .5 licensed nurse hour per resident per day.
- A designated charge nurse for each tour of duty.
- A registered nurse available for at least 8 consecutive hours a day, 7 days a week (waivers may
apply).
3. Nursing Aides:
- Individuals cannot serve as nursing aides for more than 4 months without completing a state-
approved training and competency evaluation program.
- Annual education of 12 hours for all nursing aides is required.
- If a nursing aide has not worked in 24 months, they must complete a new training course.
Provide sufficient staffing (nursing) ✔️-meet adequate resident needs
-reasonable work loads
-no reports of insufficient staff from residents, families, or ombudsman
-staff should be responsive to residents needs
Nursing Staffing Information ✔️-facility must post in clear, readable format, in a prominent place
accessible to residents and visitors the daily nurse staffing information
-facility name
-date
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