RESIDENTS' BILL OF RIGHTS AND RESPONSIBILITIES

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "RESIDENTS' BILL OF RIGHTS AND RESPONSIBILITIES"

Transcription

1 RESIDENTS' BILL OF RIGHTS AND RESPONSIBILITIES This facility maintains policies, procedures, and ongoing programs to ensure that the following rights of each resident are protected by all personnel. Appendix N I have the right to: 1. Be fully informed, in writing, through the admission agreement, of all my rights and responsibilities as a resident and to receive adequate and appropriate care within the capacity of the facility. 2. Be fully informed prior to or at the time of admission of fees, method of payment and services available in the facility, and of related charges, including any charges for services not covered under Medical Assistance or Medicare, or by the facility's basic daily rate; the terms of refund of advance payments in case of transfer, death or voluntary or involuntary discharge; and the terms of holding and charge for a bed during a resident's temporary absence. If there are any changes in available services or charges during my stay, I will be informed in writing. 3. Be fully informed of my medical condition. 4. Be afforded the opportunity to participate in the planning of my medical treatment and to refuse to participate in any experimental research if any may be offered. 5. Refuse treatment, medication or participation in activities or other programs & be informed of the consequences of this action.

2 6. Choose my personal physician or dentist and to use the licensed, certified or registered provider of health care and pharmacist of my choice. 7. Each resident has the right to self-administer drugs unless the facility's interdisciplinary team has determined for a particular resident that this practice is unsafe. (See Appendix O) 8. Continuity of care, and may be transferred or discharged only for medical reasons, or for my welfare or that of other residents, or for nonpayment for my stay. 9. Be given reasonable advance notice of any transfer or discharge either within or outside the facility and have this documented in my medical record, and be given an explanation of the need for such transfer or discharge. The facility to which the transfer is planned must have accepted me for transfer, except in a medical emergency. 10.Be encouraged and assisted to exercise my rights as a resident and as a citizen, and to voice grievances and recommend changes in policies and services to the facility staff and/or to outside representatives of my choice, and be free from restraint, interference, coercion, discrimination or reprisal. 11. Be free from discrimination based on the source of payment for my care. 12. Not be assigned to a particular wing or distinct area of the facility for sleeping, dining or for any reason based on the source of payment for my care except in the case of Medicare certification which does not prohibit assignments to the certified part of the facility because the source of payment is Medicare. 13. Be offered an identical package of basic services as that provided all individuals regardless of the source or amount of payment.

3 Additional services and enhanced services will be available at identical cost to all residents willing and able to pay for them regardless of source of payment. 14. Not be required to have, be offered, or provided an identification tag or other item that discloses the source from which the facility's charges for my care are paid. 15. Manage my own financial affairs or delegate in writing a person or agent of my choice as financial manager. Authorize the nursing facility in writing to hold my personal resident account fund and to make necessary expenditures such as those for clothing, hair care, and personal grooming products at their discretion. I understand this resident account and any earnings from it would be credited to me and not mingled with any other funds or property except the funds of other residents. 16. Receive and have my guardian receive a written itemized statement of my personal account every three months or monthly upon request. 17. Be free from verbal, sexual, physical, or mental abuse, corporal punishment, and involuntary seclusion. 18. Be free from chemical and physical restraints administered for purpose of discipline or convenience, and not required to treat the resident's medical symptoms.

4 19. In the case of mentally retarded individuals, participate in behavior modification programs involving the use of restraints or adverse stimuli only with the informed consent of a parent or guardian. 20. Expect that all communications and records pertaining to my care will be treated as confidential. 21. Approve or refuse the release of confidential medical information to any individual outside the facility, except in case of transfer to another health care facility, or as required by law or third party payment contract, such as medical assistance. 22. Be treated with consideration, respect and full emotional privacy in treatment, living arrangements, and in caring for my personal needs. 23. Privacy concerning my healthcare. Case discussion, consultation, examination, and treatment are confidential and shall be conducted discreetly. Persons not directly involved in my care shall require my permission to be present. 24. Refuse to perform services for the facility that are not included for therapeutic purposes in my plan of care. 25. Private and unrestricted communications with my family, physician, attorney, clergy and any other person. 26. Send and receive personal mail unopened, unless otherwise indicated by my physician and documented in my medical record. Communications with public

5 officials or with an attorney shall not be restricted in any way. I, or my guardian, may direct in writing that specified incoming correspondence be opened, delayed or held. 27.Have reasonable access to a public telephone for private communications. 28. Meet with an participate in activities of social, religious and community groups at my discretion unless otherwise indicated by my physician and documented in my medical record. 29. Retain and use personal clothing and possessions. With my written permission, some of my clothing may be kept separately outside my room. A reasonable amount of additional storage space is available for my personal effects. 30. Privacy during visits and, if married, assured privacy for visits by my spouse. If both are residents of the facility, we have the right to share a room unless otherwise indicated and documented by our physician in our medical record. 31. The resident has the right to examine the results of the most recent survey of the facility conducted by Federal or State surveyors and any plan of correction.

Residents Rights For Residents in Kentucky Long-Term Care Facilities

Residents Rights For Residents in Kentucky Long-Term Care Facilities Residents Rights For Residents in Kentucky Long-Term Care Facilities This document combines both Federal and Kentucky statutes, as well as information from the National Citizens' Coalition for Nursing

More information

Resident Rights in Nursing Homes

Resident Rights in Nursing Homes Resident Rights in Nursing Homes Nursing home residents have patient rights and certain protections under the law. The nursing home must list and give all new residents a copy of these rights. Resident

More information

NEW JERSEY. Downloaded January 2011

NEW JERSEY. Downloaded January 2011 NEW JERSEY Downloaded January 2011 SUBCHAPTER 4. MANDATORY RESIDENT RIGHTS 8:39 4.1 Resident rights (a) Each resident shall be entitled to the following rights: 1. To retain the services of a physician

More information

Minnesota Nursing Home Bill of Rights

Minnesota Nursing Home Bill of Rights Minnesota Nursing Home Bill of Rights Tubman Elder Care & Rights Center gratefully acknowledges funding from the Minnesota Board on Aging for its work with Resident and Family Advisory Council Education.

More information

Chapter I PATIENT BILL OF RIGHTS: ADMINISTRATIVE POLICIES AND PROCEDURES

Chapter I PATIENT BILL OF RIGHTS: ADMINISTRATIVE POLICIES AND PROCEDURES Chapter I PATIENT BILL OF RIGHTS: ADMINISTRATIVE POLICIES AND PROCEDURES Section 1. Authority. The Board of Charities and Reform, Pursuant to W.S. 25-10-120, is authorized to promulgate rules creating

More information

Legal Rights of Nursing Home Residents. Consumer Pamphlet Series

Legal Rights of Nursing Home Residents. Consumer Pamphlet Series Legal Rights of Nursing Home Residents Consumer Pamphlet Series The State Bar of Georgia has provided this pamphlet to inform people about some of their legal rights regarding nursing home residency. It

More information

Minnesota Patients Bill of Rights Legislative Intent

Minnesota Patients Bill of Rights Legislative Intent Minnesota Patients Bill of Rights Legislative Intent It is the intent of the Legislature and the purpose of this statement to promote the interests and well-being of the patients of health care facilities.

More information

ARKANSAS. Downloaded January 2011. 302.6 The name, address, and telephone number of attending physicians shall be available at each nurses' station.

ARKANSAS. Downloaded January 2011. 302.6 The name, address, and telephone number of attending physicians shall be available at each nurses' station. ARKANSAS Downloaded January 2011 302 GENERAL ADMINISTRATION 302.1 Visitors shall be permitted during all reasonable hours. 302.6 The name, address, and telephone number of attending physicians shall be

More information

Minnesota Patients Bill of Rights

Minnesota Patients Bill of Rights Minnesota Patients Bill of Rights Legislative Intent It is the intent of the Legislature and the purpose of this statement to promote the interests and well-being of the patients of health care facilities.

More information

i n s e r v i c e Resident Rights

i n s e r v i c e Resident Rights i n s e r v i c e Resident Rights The term resident rights refers to legislation that protects nursing home residents and provides for certain freedoms. Resident rights are extremely important and are

More information

ARIZONA DEPARTMENT OF HEALTH SERVICES DIVISION OF LICENSING SERVICES

ARIZONA DEPARTMENT OF HEALTH SERVICES DIVISION OF LICENSING SERVICES ARIZONA DEPARTMENT OF HEALTH SERVICES DIVISION OF LICENSING SERVICES Office of Long-Term Care Licensing 150 North 18th Ave, Suite 440, Phoenix, AZ 85007 400 W. Congress, Tucson, AZ 85701 A CONSUMER=S GUIDE

More information

Rights of People in Nursing Homes and Other Long-Term Care Facilities

Rights of People in Nursing Homes and Other Long-Term Care Facilities DEVELOPED BY EQUIP FOR EQUALITY UNDER A GRANT PROVIDED BY THE ILLINOIS DEPARTMENT ON AGING RIGHTS IN FACILITIES Rights of People in Nursing Homes and Other Long-Term Care Facilities As a resident of a

More information

Resident Rights in Nursing Facilities

Resident Rights in Nursing Facilities Your Guide to Resident Rights in Nursing Facilities 1-800-499-0229 (Volce/ITY) Table of Contents The Ombudsman Advocate........................... 3 You Take Your Rights with You... 4 Federal Regulations

More information

Your Rights Under The Combined Federal and Minnesota Residents Bill of Rights

Your Rights Under The Combined Federal and Minnesota Residents Bill of Rights Your Rights Under The Combined Federal and Minnesota Residents Bill of Rights Before You Read This Document You Should Know: In this document, the term you includes yourself, your representative, and any

More information

Residents Rights. A Guide to Your Rights as a Resident. of a Nursing Facility. in the State of North Dakota. Distributed by:

Residents Rights. A Guide to Your Rights as a Resident. of a Nursing Facility. in the State of North Dakota. Distributed by: Residents Rights A Guide to Your Rights as a Resident of a Nursing Facility in the State of North Dakota Distributed by: Office of the State Long Term Care Ombudsman 1237 W. Divide Ave. Suite 6 Bismarck,

More information

Licensing Standards for Assisted Living Facilities Handbook 92.551(d) Administrative Penalties. Small Facility (4-16 beds)

Licensing Standards for Assisted Living Facilities Handbook 92.551(d) Administrative Penalties. Small Facility (4-16 beds) entity 92.3 Types of Assisted Living Facilities $300 $450 $500 $650 92.4. License Fees $300 $400 $500 $600 92.11. Criteria for Licensing $300 $450 $500 $650 92.16. Change of Ownership $300 $400 $500 $600

More information

Ombudsman Program North Delta Planning & Development District Area Agency on Aging Elgalene Close, MSW District Ombudsman

Ombudsman Program North Delta Planning & Development District Area Agency on Aging Elgalene Close, MSW District Ombudsman 2014 Elder Law Conference Abuse/Neglect/Exploitation of Vulnerable Persons Ombudsman Program North Delta Planning & Development District Area Agency on Aging Elgalene Close, MSW District Ombudsman How

More information

Rights for Individuals in Mental Health Facilities

Rights for Individuals in Mental Health Facilities HANDBOOK Rights for Individuals in Mental Health Facilities Admitted Under the Lanterman-Petris-Short Act C A L I F O R N I A D E P A R T M E N T O F Mental Health How to Reach Your Patients Rights Advocate

More information

2007 Residents Rights Week Training Suggestion

2007 Residents Rights Week Training Suggestion 2007 Residents Rights Week Training Suggestion Training topic: Residents Rights The Basics (estimated training time = 1 hour) Intended audience: Residents, family members, long-term care staff, volunteer

More information

Mental Health Services

Mental Health Services Handbook of Consumer Rights Mental Health Services Consumer Services and Rights Protection 2007 This Book Belongs To: Table of Contents Handbook of Mental Health Consumer Rights... 2 Your Right To Be Informed

More information

Patient s Bill of Rights

Patient s Bill of Rights Patient s Bill of Rights When you apply for or receive mental health services in the State of Texas, you have many rights. Your most important rights are listed on these six pages. These rights apply to

More information

NOTICE OF PATIENT RIGHTS AND PRIVACY PRACTICES

NOTICE OF PATIENT RIGHTS AND PRIVACY PRACTICES 1303 NE Cushing Dr. Suite 200 Bend, Oregon 97701 Phone (541) 318-0858 Fax (541) 318-6740 NOTICE OF PATIENT RIGHTS AND PRIVACY PRACTICES THIS INFORMATION IS PROVIDED TO YOU BY BEND SURGERY CENTER THIS NOTICE

More information

MISSOURI. Downloaded January 2011

MISSOURI. Downloaded January 2011 MISSOURI Downloaded January 2011 19 CSR 30 85.042 Administration and Resident Care Requirements for New and Existing Intermediate Care and Skilled Nursing Facilities (11) Regular daily visiting hours shall

More information

Patient s Bill of Rights For Mental Health Services

Patient s Bill of Rights For Mental Health Services Patient s Bill of Rights For Mental Health Services When you apply for or receive mental health services in the State of Tennessee, you have many rights. Your most important rights are listed on these

More information

PATIENT INTAKE FORM PATIENT INFORMATION. Name Soc. Sec. # Last Name First Name Initial Address. City State Zip. Home Phone Work/Mobile Phone

PATIENT INTAKE FORM PATIENT INFORMATION. Name Soc. Sec. # Last Name First Name Initial Address. City State Zip. Home Phone Work/Mobile Phone PATIENT INTAKE FORM PATIENT INFORMATION Name Soc. Sec. # Last Name First Name Initial Address City State Zip Home Phone Work/Mobile Phone Sex M F Age Birth date Single Married Widowed Separated Divorced

More information

Patient Rights and Responsibilities

Patient Rights and Responsibilities Patient Rights and Responsibilities UPMC 2012 Form # 9082-82191-0212 For help in finding a doctor or health service that suits your needs, call the UPMC Altoona Physician Finder representative at 800-258-4677.

More information

Nursing Homes: Placement and Resident Rights

Nursing Homes: Placement and Resident Rights Nursing Homes: Placement and Resident Rights Nursing Homes: Placement and Resident Rights Locate a good facility and preserve a loved one s dignity Copyright 2014 ElderLawAnswers The information in this

More information

Rights and Responsibilities of Patients

Rights and Responsibilities of Patients RIGHTS AND RESPONSIBILITIES OF PATIENTS Rights and Responsibilities of Patients Patient Rights and Responsibilities At Mayo Clinic, we are concerned that each patient entrusted to our care is treated with

More information

ADMISSION PACKET IMPORTANT SUBMISSION INSTRUCTIONS

ADMISSION PACKET IMPORTANT SUBMISSION INSTRUCTIONS ADMISSION PACKET IMPORTANT SUBMISSION INSTRUCTIONS This OREGON VETERANS HOME ADMISSION PACKET contains the forms required by the Oregon Department of Veterans Affairs (ODVA) to apply for residency at one

More information

MODEL RECIPIENT RIGHTS POLICY AND PROCEDURES Authority: P.A.368 of 1978, as amended INTRODUCTION

MODEL RECIPIENT RIGHTS POLICY AND PROCEDURES Authority: P.A.368 of 1978, as amended INTRODUCTION LARA/SUB-503 (5/13) Michigan Department of Licensing and Regulatory Affairs Bureau of Health Care Services Health Facilities Division Substance Abuse Program PO Box 30664 Lansing, MI 48909 Phone: (517)

More information

YOUR RIGHTS RESPONSIBILITIES TO OUR PATIENTS. Patients and families come first. We are here to serve with respect, compassion, and honesty.

YOUR RIGHTS RESPONSIBILITIES TO OUR PATIENTS. Patients and families come first. We are here to serve with respect, compassion, and honesty. TO OUR PATIENTS YOUR RIGHTS & RESPONSIBILITIES Patients and families come first. We are here to serve with respect, compassion, and honesty. We will try to do our best today, and do better tomorrow. We

More information

Resident Rights. Here is a listing of those rights: A Right to Dignity the right to:

Resident Rights. Here is a listing of those rights: A Right to Dignity the right to: Resident Rights If you are considering placing a loved one in a nursing home or know of someone already receiving care, it is important to know under Michigan law, residents of long term care are guaranteed

More information

Mental Health Care Patient Bill of Rights

Mental Health Care Patient Bill of Rights Mental Health Care Patient Bill of Rights Acknowledgements: St. Joseph s Mental Health Care Patient Bill of Rights St. Joseph s Health Care London (St. Joseph s) and the mental health care Patient Council

More information

Section 3 ASSISTED LIVING: SUMMARY O STATE STATUTES STATE SUMMARIES ALABAMA - MISSOURI. (Includes the District of Columbia)

Section 3 ASSISTED LIVING: SUMMARY O STATE STATUTES STATE SUMMARIES ALABAMA - MISSOURI. (Includes the District of Columbia) Section 3 ASSISTED LIVING: SUMMARY O STATE STATUTES STATE SUMMARIES ALABAMA - MISSOURI (Includes the District of Columbia) ALABAMA CLASSI ICATION ASSISTED LIVING ACILITY A permanent building, portion of

More information

Coastal Plain Hospital Handbook

Coastal Plain Hospital Handbook Coastal Plain Hospital Handbook Encouragement Empowerment Respect Nash Health Care Systems Mission Statement: To provide quality health care services and to help improve the health of the community in

More information

Every resident. Bill of Rights for people who live in Ontario long-term care homes. September 2008

Every resident. Bill of Rights for people who live in Ontario long-term care homes. September 2008 resident Bill of Rights for people who live in Ontario long-term care homes September 2008 Resident: Bill of Rights for people who live in Ontario long-term care homes Advocacy Centre for the Elderly (ACE)

More information

Patient Rights and Responsibilities

Patient Rights and Responsibilities Patient Rights and Responsibilities As a patient, you have the right Personal Privacy/Visitation To have your personal dignity respected. To the confidentiality of your identifiable health information.

More information

1) is a person first, and has the right to be treated with respect.

1) is a person first, and has the right to be treated with respect. The Centre for Addiction and Mental Health Bill of Client Rights Preamble The Bill of Client Rights has been developed to assert and promote the dignity and worth of all of the people who use the services

More information

Express those spiritual beliefs and cultural practices that do not harm or interfere with the planned course of medical therapy for you.

Express those spiritual beliefs and cultural practices that do not harm or interfere with the planned course of medical therapy for you. Patient Rights The Palo Alto Medical Foundation (PAMF) is committed to providing high quality, costeffective health care to our patients. We believe every patient deserves to be treated with respect, dignity

More information

When a Person Wants to Be Released from a Psychiatric Hospital

When a Person Wants to Be Released from a Psychiatric Hospital 50 West Broad Street, Suite 1400 Columbus, Ohio 43215-5923 Tel. 614-466-7264 local / 800-282-9181 in Ohio TTY 614-728-2553 / 800-858-3542 in Ohio Fax 800-644-1888 Web: disabilityrightsohio.org Disclaimer:

More information

Combined Federal and State Bill of Rights FOR RESIDENTS IN MEDICARE/MEDICAID CERTIFIED SKILLED NURSING FACILITIES OR NURSING FACILITIES

Combined Federal and State Bill of Rights FOR RESIDENTS IN MEDICARE/MEDICAID CERTIFIED SKILLED NURSING FACILITIES OR NURSING FACILITIES Combined Federal and State Bill of Rights FOR RESIDENTS IN MEDICARE/MEDICAID CERTIFIED SKILLED NURSING FACILITIES OR NURSING FACILITIES All residents in long term care facilities have rights guaranteed

More information

Patient Rights, Responsibilities and Durable Power of Attorney

Patient Rights, Responsibilities and Durable Power of Attorney Patient Rights, Responsibilities and Durable Power of Attorney www.sparrow.org Table of Contents Patient Rights...4 Information Upon Delivery of Care...4 Quality of Care...5 Pain Relief...5 Response to

More information

Guidelines for Large Group ( staff) Resident Rights Presentation (A Tutorial for Ombudsman)

Guidelines for Large Group ( staff) Resident Rights Presentation (A Tutorial for Ombudsman) Guidelines for Large Group (30-150 staff) Resident Rights Presentation (A Tutorial for Ombudsman) 1) Organize the Quizzes into 4 groups- A, B, C and D (They are already labeled) There are two ways to distribute

More information

a) Each facility shall have a medical record system that retrieves information regarding individual residents.

a) Each facility shall have a medical record system that retrieves information regarding individual residents. TITLE 77: PUBLIC HEALTH CHAPTER I: DEPARTMENT OF PUBLIC HEALTH SUBCHAPTER c: LONG-TERM CARE FACILITIES PART 300 SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE SECTION 300.1810 RESIDENT RECORD REQUIREMENTS

More information

The Northern Lakes CMH Recipient Rights Officer is designated as the Substance Abuse Program Recipient Rights Advisor.

The Northern Lakes CMH Recipient Rights Officer is designated as the Substance Abuse Program Recipient Rights Advisor. Page 1 of 5 Title Northern Lakes CMH Policies Part 106 Supports and Services NLCMH Provided and Contract Subpart I Substance Abuse Services Policy No. 106.901 Subject Rights of Substance Abuse Applicability

More information

Patient Bill of Rights and Responsibilities

Patient Bill of Rights and Responsibilities Patient Bill of Rights and Responsibilities The patient or the patient s legal representative has the right to be informed of the patient s rights and responsibilities as a patient through effective means

More information

HAWAII DISABILITY RIGHTS CENTER. Hawaii s Protection and Advocacy System for People with Disabilities Hawaii s Client Assistance Program

HAWAII DISABILITY RIGHTS CENTER. Hawaii s Protection and Advocacy System for People with Disabilities Hawaii s Client Assistance Program HAWAII DISABILITY RIGHTS CENTER Hawaii s Protection and Advocacy System for People with Disabilities Hawaii s Client Assistance Program A BILL OF RIGHTS FOR PEOPLE WITH MENTAL ILLNESS 1132 Bishop Street,

More information

Rights of Children in a Facility Ref #4463, Version 1 Date Implemented: 03/12/2010 Next Review: 04/12/2012

Rights of Children in a Facility Ref #4463, Version 1 Date Implemented: 03/12/2010 Next Review: 04/12/2012 Rights of Children in a Facility Ref #4463, Version 1 Date Implemented: 03/12/2010 Next Review: 04/12/2012 General Statement The Behavioral Health Center (hereinafter BHC), through its staff and director,

More information

Know. your Rights. Residents Rights in Nursing Homes, Assisted Living and Residential Care Facilities

Know. your Rights. Residents Rights in Nursing Homes, Assisted Living and Residential Care Facilities F me infmation, contact your personal decisions and to be infmed of www.okdhs.g Click on older persons This publication is authized by the Human Services Commission in accdance with state and federal regulations

More information

RULES OF DEPARTMENT OF MENTAL HEALTH AND DEVELOPMENTAL DISABILITIES OFFICE OF LICENSURE

RULES OF DEPARTMENT OF MENTAL HEALTH AND DEVELOPMENTAL DISABILITIES OFFICE OF LICENSURE RULES OF DEPARTMENT OF MENTAL HEALTH AND DEVELOPMENTAL DISABILITIES OFFICE OF LICENSURE CHAPTER 0940-05-38 MINIMUM PROGRAM REQUIREMENTS FOR PERSONAL SUPPORT TABLE OF CONTENTS 0940-05-38-.01 Definitions

More information

Member Rights and Responsibilities Medicaid Fraud and Abuse Advance Directives. Serving Durham, Wake, Cumberland and Johnston Counties

Member Rights and Responsibilities Medicaid Fraud and Abuse Advance Directives. Serving Durham, Wake, Cumberland and Johnston Counties Member Rights and Responsibilities Medicaid Fraud and Abuse Advance Directives Rights and Responsibilities All members of the Alliance Health Plan have a number of rights and responsibilities Member Rights

More information

CALIFORNIA STANDARD ADMISSION AGREEMENT FOR SKILLED NURSING FACILITIES AND INTERMEDIATE CARE FACILITIES

CALIFORNIA STANDARD ADMISSION AGREEMENT FOR SKILLED NURSING FACILITIES AND INTERMEDIATE CARE FACILITIES CALIFORNIA STANDARD ADMISSION AGREEMENT FOR SKILLED NURSING FACILITIES AND INTERMEDIATE CARE FACILITIES State of California Health and Human Services Agency CALIFORNIA STANDARD ADMISSION AGREEMENT FOR

More information

940 CMR 4.00: LONG TERM CARE FACILITIES. Section

940 CMR 4.00: LONG TERM CARE FACILITIES. Section 940 CMR 4.00: LONG TERM CARE FACILITIES Section 4.01: Definitions 4.02: Unfair or Deceptive Acts or Practices: General 4.03: Non-Discriminatory Access to Quality Care 4.04: Admission Contracts 4.05: Charges

More information

Your Rights. as an Adult Receiving Treatment in a Mental Health Facility in Indiana. Revised November 2008

Your Rights. as an Adult Receiving Treatment in a Mental Health Facility in Indiana. Revised November 2008 Your Rights as an Adult Receiving Treatment in a Mental Health Facility in Indiana Revised November 2008 The Protection and Advocacy System for Indiana Member: National Disability Rights Network The information

More information

Understanding Your Rights and Responsibilities As a Patient at Gillette Lifetime Specialty Healthcare

Understanding Your Rights and Responsibilities As a Patient at Gillette Lifetime Specialty Healthcare Understanding Your Rights and Responsibilities As a Patient at Gillette Lifetime Specialty Healthcare PATIENT RIGHTS Patients at Gillette Lifetime Specialty Healthcare have many rights. We ve summarized

More information

Bel~Air Nursing & Rehab Center 29 Center St. Goffstown, NH (603) Fax: (603)

Bel~Air Nursing & Rehab Center 29 Center St. Goffstown, NH (603) Fax: (603) ADMISSION AGREEMENT Bel-Air Nursing & Rehab Center (hereafter Facility ) and, the Resident and/or the Guardian, or Durable Power of Attorney, agrees that the Facility will admit and provide the nursing

More information

Technical Assistance Document 5

Technical Assistance Document 5 Technical Assistance Document 5 Information Sharing with Family Members of Adult Behavioral Health Recipients Developed by the Arizona Department of Health Services Division of Behavioral Health Services

More information

MANDATED REPORTING OF CHILD NEGLECT OR PHYSICAL OR SEXUAL ABUSE 214. A. Child means a person under age 18.

MANDATED REPORTING OF CHILD NEGLECT OR PHYSICAL OR SEXUAL ABUSE 214. A. Child means a person under age 18. I. PURPOSE It is the policy of Lakes International Language Academy (the school ) to maintain this policy on mandated reporting of child neglect or physical or sexual abuse. The purpose of this policy

More information

WELCOME TO STRAITH HOSPITAL FOR SPECIAL SURGERY OUR PHILOSOPHY JOINT NOTICE OF PRIVACY PRACTICES

WELCOME TO STRAITH HOSPITAL FOR SPECIAL SURGERY OUR PHILOSOPHY JOINT NOTICE OF PRIVACY PRACTICES WELCOME TO STRAITH HOSPITAL FOR SPECIAL SURGERY During your stay with us, our goal is to make your hospital experience as favorable as possible by providing information and open channels of communication.

More information

Patients Bill of Rights

Patients Bill of Rights Page 1 of 8 Patients Bill of Rights A Handbook for Patients of Fairview Legislative Intent: It is the intent of the Legislature and the purpose of this statement to promote the interests and well-being

More information

Consumer Guide. Assisted living and residential care facilities

Consumer Guide. Assisted living and residential care facilities OREGON DEPARTMENT OF HUMAN SERVICES: Seniors and People with Disabilities Oregon Consumer Guide Assisted living and residential care facilities PAGE ii CONSUMER GUIDE for Assisted Living and Residential

More information

WEST VIRGINIA. Downloaded January 2011

WEST VIRGINIA. Downloaded January 2011 4.16. Freedom from Restraints and Abuse. WEST VIRGINIA Downloaded January 2011 4.16.a. General. Each resident shall be free from mental and physical abuse, and free from chemical and physical restraints

More information

Nursing Home Residents Rights

Nursing Home Residents Rights Nursing Home Residents Rights INTRODUCTION W State and federal regulations require nursing homes to have written policies covering the rights of residents. The facility must implement these policies and

More information

LEGALLY ADEQUATE CONSENT

LEGALLY ADEQUATE CONSENT REV2 8 2011_CS1 LEGALLY ADEQUATE CONSENT In general, adults with disabilities have the right to control their own lives and make their own decisions. They must give consent to have limitations placed on

More information

WCHO Department Recipient Rights/Substance Abuse

WCHO Department Recipient Rights/Substance Abuse WCHO Department Recipient Rights/Substance Abuse # of Pages: 7 Policy and Procedure Policy Name Type of Policy: HEALTH SERVICES ACCESS.RECIPIENT [ ] WCHO [ ] Regional [ ] Network RIGHTS.SUBSTANCE ABUSE

More information

Involuntary Commitments and Psychiatric Hospitals

Involuntary Commitments and Psychiatric Hospitals Involuntary Commitments and Psychiatric Hospitals What does this mean to You and Your Loved Ones? 515 28 3/4 Road Grand Junction, CO 81501 970.263.4918 WestSpringsHospital.org M-1: INVOLUNTARY COMMITMENT

More information

NURSING HOMES AND INTERMEDIATE CARE FACILITIES REQUIREMENTS FOR LONG TERM CARE FACILITIES

NURSING HOMES AND INTERMEDIATE CARE FACILITIES REQUIREMENTS FOR LONG TERM CARE FACILITIES TITLE 7 CHAPTER 9 PART 2 HEALTH NURSING HOMES AND INTERMEDIATE CARE FACILITIES REQUIREMENTS FOR LONG TERM CARE FACILITIES 7.9.2.1 ISSUING AGENCY: New Mexico Department of Health, Public Health Division,

More information

ARTICLE 8. ASSISTED LIVING FACILITIES

ARTICLE 8. ASSISTED LIVING FACILITIES Section R9-10-801. R9-10-802. R9-10-803. R9-10-804. R9-10-805. R9-10-806. R9-10-807. R9-10-808. R9-10-809. R9-10-810. R9-10-811. R9-10-812. R9-10-813. R9-10-814. R9-10-815. R9-10-816. R9-10-817. R9-10-818.

More information

A handbook for you and your family about your rights when receiving Mental Health and I/DD services

A handbook for you and your family about your rights when receiving Mental Health and I/DD services A handbook for you and your family about your rights when receiving Mental Health and I/DD services 1 Y our Rights When you receive services from ACI, you have many rights that are supported by law. Because

More information

Client Rights Handbook. Your rights and responsibilities as a consumer of Access Family Services, Inc.

Client Rights Handbook. Your rights and responsibilities as a consumer of Access Family Services, Inc. Client Rights Handbook Your rights and responsibilities as a consumer of Access Family Services, Inc. Key Contacts Chief Executive Officer 704 521 4977 Chief Operating Officer 704 521 4977 President Southeastern

More information

ARTICLE 7. BEHAVIORAL HEALTH RESIDENTIAL FACILITIES

ARTICLE 7. BEHAVIORAL HEALTH RESIDENTIAL FACILITIES Section R9-10-701. R9-10-702. R9-10-703. R9-10-704. R9-10-705. R9-10-706. R9-10-707. R9-10-708. R9-10-709. R9-10-710. R9-10-711. R9-10-712. R9-10-713. R9-10-714. R9-10-715. R9-10-716. R9-10-717. R9-10-718.

More information

MANDATORY REPORTING LAWS & RULES

MANDATORY REPORTING LAWS & RULES Janet Napolitano Governor Joey Ridenour Executive Director Arizona State Board of Nursing 4747 North 7th Street, Suite 200 Phoenix AZ 85014-3653 Phone (602) 889-5150 Fax (602) 889-5155 E-Mail: arizona@azbn.org

More information

Supervised Independent Living Services For Adolescent Males

Supervised Independent Living Services For Adolescent Males Supervised Independent Living Services For Adolescent Males Planting Seeds for a Better Tomorrow Families United Network, Inc. 2016 Millersville Pike Lancaster, Pennsylvania 17603 Phone: 717-872-5405 Fax:

More information

MANDATED REPORTING OF CHILD NEGLECT OR PHYSICAL OR SEXUAL ABUSE

MANDATED REPORTING OF CHILD NEGLECT OR PHYSICAL OR SEXUAL ABUSE POLICY #414 MANDATED REPORTING OF CHILD NEGLECT OR PHYSICAL OR SEXUAL ABUSE I. PURPOSE The purpose of this policy is to make clear the statutory requirements of school personnel to report suspected child

More information

YOUR RIGHTS IN RESIDENTIAL CARE FACILITIES

YOUR RIGHTS IN RESIDENTIAL CARE FACILITIES 5025.01 YOUR RIGHTS IN RESIDENTIAL CARE FACILITIES You have the right to receive information about your legal and human rights in a way you can understand. This includes the right to have this manual read

More information

UNC Health Care System Psychiatry. Patient Label Here. PSYCHIATRY GENERAL CONSENT FOR TREATMENT MIM #741s (Page 1 of 5)

UNC Health Care System Psychiatry. Patient Label Here. PSYCHIATRY GENERAL CONSENT FOR TREATMENT MIM #741s (Page 1 of 5) UNC Health Care System Psychiatry PSYCHIATRY GENERAL CONSENT FOR TREATMENT MIM #741s (Page 1 of 5) I understand that the University of North Carolina Health Care System (UNC Health Care) is an integrated

More information

Abuse Prohibition Review

Abuse Prohibition Review Abuse Prohibition Review Gregg Brandush RN, JD Jean Parr RN, JD January 23. 2013 The F-tags Conditions of Participation for long term care facilities are found under 42 CFR 483. Regulations are broken

More information

Court-Ordered Mental Health Evaluation and Treatment in Arizona: Rights and Procedures

Court-Ordered Mental Health Evaluation and Treatment in Arizona: Rights and Procedures The Arizona State Hospital The Arizona State Hospital is the only long-term inpatient psychiatric facility in Arizona. Before ordering that you receive treatment at the Arizona State Hospital, the court

More information

ATTACHMENT A RESIDENT BILL OF RIGHTS

ATTACHMENT A RESIDENT BILL OF RIGHTS State of California Health and Human Services Agency Department of Health Services ATTACHMENT A RESIDENT BILL OF RIGHTS The State of California Department of Health Services (DHS) has prepared this comprehensive

More information

RULES OF ALABAMA STATE BOARD OF HEALTH ALABAMA DEPARTMENT OF PUBLIC HEALTH CHAPTER 420-5-17 HOSPICES

RULES OF ALABAMA STATE BOARD OF HEALTH ALABAMA DEPARTMENT OF PUBLIC HEALTH CHAPTER 420-5-17 HOSPICES RULES OF ALABAMA STATE BOARD OF HEALTH ALABAMA DEPARTMENT OF PUBLIC HEALTH CHAPTER 420-5-17 HOSPICES REPEALED AND REPLACED JULY 4, 2000 AMENDED JULY 23, 2002 AMENDED FEBRUARY 20, 2003 AMENDED JULY 28,

More information

HIPAA Notice of Privacy Practices

HIPAA Notice of Privacy Practices HIPAA Notice of Privacy Practices THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY. This Notice

More information

Welcome Information. Registration: All patients must complete a patient information form before seeing their provider.

Welcome Information. Registration: All patients must complete a patient information form before seeing their provider. Welcome Information Thank you for choosing our practice to take care of your health care needs! We know that you have a choice in selecting your medical care and we strive to provide you with the best

More information

DEPARTMENT OF REGULATORY AGENCIES. Division of Professions and Occupations 3 CCR 716-1 CHAPTER 10

DEPARTMENT OF REGULATORY AGENCIES. Division of Professions and Occupations 3 CCR 716-1 CHAPTER 10 DEPARTMENT OF REGULATORY AGENCIES Division of Professions and Occupations 3 CCR 716-1 CHAPTER 10 RULES AND REGULATIONS FOR CERTIFICATION AS A NURSE AIDE BASIS: The authority for the promulgation of these

More information

* Use tag F224 for deficiencies concerning mistreatment, neglect, or misappropriation of resident property.

* Use tag F224 for deficiencies concerning mistreatment, neglect, or misappropriation of resident property. F223 483.13(b) Abuse The resident has the right to be free from verbal, sexual, physical, and mental abuse, corporal punishment, and involuntary seclusion. Intent 483.13(b) Each resident has the right

More information

NEW HAMPSHIRE. Downloaded January 2011 HE P 803.08 NURSING HOME REQUIREMENTS FOR ORGANIZATIONAL CHANGES.

NEW HAMPSHIRE. Downloaded January 2011 HE P 803.08 NURSING HOME REQUIREMENTS FOR ORGANIZATIONAL CHANGES. NEW HAMPSHIRE Downloaded January 2011 HE P 803.08 NURSING HOME REQUIREMENTS FOR ORGANIZATIONAL CHANGES. (a) The nursing home shall provide the department with written notice at least 30 days prior to changes

More information

ARTICLE 3. BEHAVIORAL HEALTH INPATIENT FACILITIES

ARTICLE 3. BEHAVIORAL HEALTH INPATIENT FACILITIES Section R9-10-301. R9-10-302. R9-10-303. R9-10-304. R9-10-305. R9-10-306. R9-10-307. R9-10-308. R9-10-309. R9-10-310. R9-10-311. R9-10-312. R9-10-313. R9-10-314. R9-10-315. R9-10-316. R9-10-317. R9-10-318.

More information

UNIVERSITY PHYSICIANS OF BROOKLYN, INC. POLICY AND PROCEDURE. No: Supersedes Date: Distribution: Issued by:

UNIVERSITY PHYSICIANS OF BROOKLYN, INC. POLICY AND PROCEDURE. No: Supersedes Date: Distribution: Issued by: UNIVERSITY PHYSICIANS OF BROOKLYN, INC. POLICY AND PROCEDURE Subject: ALCOHOL & SUBSTANCE ABUSE INFORMATION Page 1 of 10 No: Prepared by: Shoshana Milstein Original Issue Date: NEW Reviewed by: HIPAA Policy

More information

THE HIPAA PRIVACY RULE AND THE NATIONAL HOSPITAL CARE SURVEY

THE HIPAA PRIVACY RULE AND THE NATIONAL HOSPITAL CARE SURVEY THE HIPAA PRIVACY RULE AND THE NATIONAL HOSPITAL CARE SURVEY Table of Contents I. Overview... 3 II. Legal Authority for NHCS... 3 III. Requirements of the HIPAA Privacy Rule... 3 IV. Extra Safeguards and

More information

MENTAL HEALTH ADVANCE DIRECTIVES FORM

MENTAL HEALTH ADVANCE DIRECTIVES FORM MENTAL HEALTH ADVANCE DIRECTIVES FORM A Mental Health Advance Directive is a legal and medical document. Individuals are encouraged to use this tool as a way to inform and collaborate with their treatment

More information

Short Term Disability Income Benefit. Employee s Guide

Short Term Disability Income Benefit. Employee s Guide Short Term Disability Income Benefit Employee s Guide Short Term Disability Income Benefits This guide contains the forms you need to apply for disability benefits and some important information about

More information

PROTECTING THE PUBLIC AND PROMOTING HIGH STANDARDS OF PRACTICE

PROTECTING THE PUBLIC AND PROMOTING HIGH STANDARDS OF PRACTICE PROTECTING THE PUBLIC AND PROMOTING HIGH STANDARDS OF PRACTICE Hotline: +974 4407 0370 FITNESS TO PRACTICE DEPARTMENT QATAR COUNCIL FOR HEALTHCARE PRACTITIONERS Fitness to Practice Department Qatar Council

More information

DEPARTMENT OF HUMAN RESOURCE MANAGEMENT POLICY NO.: 1.05 POLICIES AND PROCEDURES MANUAL EFFT. DATE: 9-16-93 UPDATED: 3-2004 ALCOHOL AND OTHER DRUGS

DEPARTMENT OF HUMAN RESOURCE MANAGEMENT POLICY NO.: 1.05 POLICIES AND PROCEDURES MANUAL EFFT. DATE: 9-16-93 UPDATED: 3-2004 ALCOHOL AND OTHER DRUGS OBJECTIVE It is the Commonwealth's objective to establish and maintain a work environment free from the adverse effects of alcohol and other drugs. The effects of alcohol and other drugs in the workplace

More information

NOTICE OF PRIVACY PRACTICES Murdoch Developmental Center. Effective Date: April 14, 2003

NOTICE OF PRIVACY PRACTICES Murdoch Developmental Center. Effective Date: April 14, 2003 NOTICE OF PRIVACY PRACTICES Murdoch Developmental Center Effective Date: April 14, 2003 THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS

More information

Foster Youth Mental Health Bill of Rights. 1. Foster youth have the right to receive mental health services and supports. 1

Foster Youth Mental Health Bill of Rights. 1. Foster youth have the right to receive mental health services and supports. 1 Foster Youth Mental Health Bill of Rights Rights 1. Foster youth have the right to receive mental health services and supports. 1 2. Foster youth have the right to receive information about their mental

More information

NATIONAL BOARD FOR CERTIFIED COUNSELORS (NBCC) CODE OF ETHICS

NATIONAL BOARD FOR CERTIFIED COUNSELORS (NBCC) CODE OF ETHICS PREAMBLE NATIONAL BOARD FOR CERTIFIED COUNSELORS (NBCC) CODE OF ETHICS The National Board for Certified Counselors (NBCC) provides national certifications that recognize individuals who have voluntarily

More information

AGREEMENT FOR ADMISSION TO SANCTUARY CENTERS OF SANTA BARBARA RESIDENTIAL TREATMENT PROGRAM

AGREEMENT FOR ADMISSION TO SANCTUARY CENTERS OF SANTA BARBARA RESIDENTIAL TREATMENT PROGRAM AGREEMENT FOR ADMISSION TO SANCTUARY CENTERS OF SANTA BARBARA RESIDENTIAL TREATMENT PROGRAM 1. ( resident ), an individual, is admitted to Sanctuary Centers of Santa Barbara, Inc., (a California non-profit

More information

Long Term Care. Chapter. In This Chapter

Long Term Care. Chapter. In This Chapter Long Term Care It is estimated that approximately 70 percent of persons age 6 and older will need some form of long-term care at some point in their life. Long term care can occur in a person s home, in

More information

MANDATED REPORTING OF CHILD NEGLECT OR PHYSICAL OR SEXUAL ABUSE

MANDATED REPORTING OF CHILD NEGLECT OR PHYSICAL OR SEXUAL ABUSE MANDATED REPORTING OF CHILD NEGLECT OR PHYSICAL OR SEXUAL ABUSE I. PURPOSE The purpose of this policy is to make clear the statutory requirements of school personnel to report suspected child neglect or

More information

Resident Rights for Florida CNAs

Resident Rights for Florida CNAs Resident Rights for Florida CNAs This course has been awarded one (1.0) contact hour. This course expires on November 28, 2015 Copyright 2005 by RN.com. All Rights Reserved. Reproduction and distribution

More information

MINIMUM STANDARDS FOR CERTIFIED NURSE AIDS

MINIMUM STANDARDS FOR CERTIFIED NURSE AIDS MINIMUM STANDARDS FOR CERTIFIED NURSE AIDS Title 15: Mississippi State Department of Health Part 3: Office of Health Protection Subpart 1: Health Facilities Licensure and Certification Post Office Box

More information