Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Homes for the Aged Facilities › Adult Foster Care Congregate Facilities › Part 4 - CONGREGATE FACILITIES › Section R. 400.2403 - Admission and discharge

Current through Vol. 24-12, July 15, 2024
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.