Page 115 - Ombudsman Participant Manual Optimized_Neat

Discharge Planning
• Each resident must have a discharge plan, which must be updated as needed
• Resident and/or resident’s representative must be involved
• If discharge to the community is determined to be not feasible, facility must document who made the

determination and why 42 C.F.R.§ 483.21(c)

Self-determination §483.10(8)(f)
Includes:
• Choice of activities, schedules, healthcare, and providers

o Providers-New
o Schedules: Specifically calls out sleeping and waking times
• Right to make choices, interact with members of the community; participate in activities inside and
outside the facility
• Right to receive visitors
• Right to organize and participate in resident groups (including family groups)
• Right to manage his/her financial affairs
• Choice of attending Physician §483.10(8)(d)

Visitation
• New regulations expands some aspects of visitation right: residents have the right to receive visitors of
their choosing at the time of their choosing; receive visitors whom they designate §483.10(f)(4))
• The facility must:
o Ensure all visitors have full and equal visitation privileges (subject to resident preferences)
▪ Not discriminate
• The facility must:
o Have visitation policy
o Inform residents of their right to visitors, the policy and any restrictions

Resident Personal Funds and Property
• The facility must:
o Act as a fiduciary of the resident’s funds if the resident authorizes the facility to manage his/her
funds §483.10(f)(10)(i)
o Continue to make financial records available quarterly and upon request
o Refund any deposit or charges already paid within 30 days if the resident dies, is hospitalized or is
transferred/discharged §483.10(g)(18)(iv)
o Convey the resident’s funds and a final accounting within 30 days upon discharge, eviction or death
§483.10(v)
Personal Property
• The facility must:
o Provide reasonable care for resident’s personal property §483.10(i)(ii)
o Not waive it’s liability for loss of resident property §483.15(a)(iii)
o Have a policy indicating circumstances when loss of damage of dentures is the facility’s responsibility
and residents won’t be charge for replacement of lost/damaged dentures

Office of the LTC Ombudsman
Version 1.0 September 2020
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