Ariz. Admin. Code § R9-10-408 - Transfer; 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 nursing 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 physician or the
physician's designee;
d.
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
e. 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 care institution.
B. An administrator may transfer
or discharge a resident for failure 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 for
a transfer of a resident due to an emergency, an administrator shall ensure
that:
1. A personnel member 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 orders that are in effect at the
time of the transfer, is provided to a receiving health care institution;
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.
1. Written follow-up instructions
are developed with the resident 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 member and authenticated by the resident's attending
physician or designee and includes:
a. The
resident's medical condition at the time of transfer 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.
Notes
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