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ASSIGN
483.10 Resident Rights

001

F550

COMMUNICATION AND ACCESS

 
 
 
 
 
 
 
 
 
 
 
 

002

F550

MAINTENANCE AND ENHANCEMENT

 
 
 
 
 
 
 
 
 
 
 
 

003

F550

RESIDENT INDIVIDUALITY

 
 
 
 
 
 
 
 
 
 
 
 

004

F550

CALL LIGHT RESPONSE

 
 
 
 
 
 
 
 
 
 
 
 

005

F550

APPROPRIATENESS OF CLOTHING

 
 
 
 
 
 
 
 
 
 
 
 

006

F550

WELL-GROOMED, APPROPRIATE CLOTHING

 
 
 
 
 
 
 
 
 
 
 
 

007

F550

DINING ASSISTANCE

 
 
 
 
 
 
 
 
 
 
 
 

008

F550

TOILETING ASSISTANCE

 
 
 
 
 
 
 
 
 
 
 
 

009

F550

HYGIENE

 
 
 
 
 
 
 
 
 
 
 
 

010

F550

CLOTHING PROTECTORS

 
 
 
 
 
 
 
 
 
 
 
 

011

F550

DINING INTERACTION

 
 
 
 
 
 
 
 
 
 
 
 

012

F550

ACTIVITIES

 
 
 
 
 
 
 
 
 
 
 
 

013

F550

CLOTHING LABELS

 
 
 
 
 
 
 
 
 
 
 
 

014

F550

RESIDENT PREFERENCE

 
 
 
 
 
 
 
 
 
 
 
 

015

F550

DINING

 
 
 
 
 
 
 
 
 
 
 
 

016

F550

RESIDENT PRIVACY

 
 
 
 
 
 
 
 
 
 
 
 

017

F550

DIGNITY WHILE STAFF SPEAKING TO RESIDENT

 
 
 
 
 
 
 
 
 
 
 
 

018

F550

POSTING CONFIDENTIAL INFORMATION

 
 
 
 
 
 
 
 
 
 
 
 

019

F550

DIGNITY & PRIVACY DURING PERSONAL CARE

 
 
 
 
 
 
 
 
 
 
 
 

020

F550

GROOMING PREFERENCE

 
 
 
 
 
 
 
 
 
 
 
 

021

F550

RESIDENT PRIVACY

 
 
 
 
 
 
 
 
 
 
 
 

022

F550

PERSONAL PROPERTY

 
 
 
 
 
 
 
 
 
 
 
 

023

F550

IDENTICAL POLICIES

 
 
 
 
 
 
 
 
 
 
 
 

024

F550

EQUAL ACCESS

 
 
 
 
 
 
 
 
 
 
 
 

025

F550

AUTONOMY AND CHOICE

 
 
 
 
 
 
 
 
 
 
 
 

026

F550

FACILITY RULES

 
 
 
 
 
 
 
 
 
 
 
 

027

F550

FREEDOM TO EXERCISE RIGHTS

 
 
 
 
 
 
 
 
 
 
 
 

028

F551

LEGAL REPRESENTATION

 
 
 
 
 
 
 
 
 
 
 
 

029

F551

REPRESENTATIVE'S EXERCISE OF RIGHTS

 
 
 
 
 
 
 
 
 
 
 
 

030

F551

DELEGATION OF RIGHTS

 
 
 
 
 
 
 
 
 
 
 
 

031

F551

REPRESENTATIVE DECISIONS

 
 
 
 
 
 
 
 
 
 
 
 

032

F551

DELEGATED DECISIONS

 
 
 
 
 
 
 
 
 
 
 
 

033

F551

RESIDENT'S BEST INTERESTS

 
 
 
 
 
 
 
 
 
 
 
 

034

F551

STATE APPOINTED REPRESENTATION

 
 
 
 
 
 
 
 
 
 
 
 

035

F551

DECISION MAKING LIMITED

 
 
 
 
 
 
 
 
 
 
 
 

036

F551

RESIDENT PREFERENCES

 
 
 
 
 
 
 
 
 
 
 
 

037

F551

PARTICIPATE IN CARE PLANNING PROCESS

 
 
 
 
 
 
 
 
 
 
 
 

038

F552

RIGHT TO BE INFORMED AND PARTICIPATE

 
 
 
 
 
 
 
 
 
 
 
 

039

F552

INFORMED OF TOTAL HEALTH STATUS

 
 
 
 
 
 
 
 
 
 
 
 

040

F552

INFORMED PRIOR TO CARE / TREATMENT

 
 
 
 
 
 
 
 
 
 
 
 

041

F552

INFORMED OF RISKS AND BENEFITS OF TREATMENT

 
 
 
 
 
 
 
 
 
 
 
 

042

F553

PARTICIPATION IN CARE PLAN - TREATMENT

 
 
 
 
 
 
 
 
 
 
 
 

043

F553

CARE PLANS - STRENGTHS AND NEEDS

 
 
 
 
 
 
 
 
 
 
 
 

044

F553

CARE PLANS - RIGHT TO PARTICIPATE

 
 
 
 
 
 
 
 
 
 
 
 

045

F553

INFORMED OF CHANGES TO PLAN OF CARE

 
 
 
 
 
 
 
 
 
 
 
 

046

F553

CARE PLAN - RECEIPT OF SERVICES AND ITEMS

 
 
 
 
 
 
 
 
 
 
 
 

047

F553

CARE PLAN - RIGHT TO SIGN

 
 
 
 
 
 
 
 
 
 
 
 

048

F553

CARE PLAN - INFORMED AND RIGHT TO PARTICIPATE

 
 
 
 
 
 
 
 
 
 
 
 

049

F553

CARE PLAN - FACILITATE INCLUSION OF RESIDENT AND/OR REPRESENTATIVE

 
 
 
 
 
 
 
 
 
 
 
 

050

F553

CARE PLAN - STRENGTHS AND WEAKNESSES

 
 
 
 
 
 
 
 
 
 
 
 

051

F553

CARE PLANS - PERSONAL AND CULTURAL PREFERENCE

 
 
 
 
 
 
 
 
 
 
 
 

052

F554

SELF-ADMINISTRATION OF DRUGS

 
 
 
 
 
 
 
 
 
 
 
 

053

F555

RIGHT TO CHOOSE ATTENDING PHYSICIAN

 
 
 
 
 
 
 
 
 
 
 
 

054

F555

FREE CHOICE - ATTENDING PHYSICIAN

 
 
 
 
 
 
 
 
 
 
 
 

055

F555

LICENSED PHYSICIAN

 
 
 
 
 
 
 
 
 
 
 
 

056

F555

ALTERNATE PHYSICIAN

 
 
 
 
 
 
 
 
 
 
 
 

057

F555

ATTENDING PHYSICIAN INFORMATION

 
 
 
 
 
 
 
 
 
 
 
 

058

F555

INFORM OF PHYSICIAN CHANGE

 
 
 
 
 
 
 
 
 
 
 
 

059

F555

HONOR PHYSICIAN CHOICE

 
 
 
 
 
 
 
 
 
 
 
 

060

F557

RESPECT AND DIGNITY

 
 
 
 
 
 
 
 
 
 
 
 

061

F557

RETAIN PERSONAL POSSESSIONS

 
 
 
 
 
 
 
 
 
 
 
 

062

F557

PERSONAL POSSESSIONS

 
 
 
 
 
 
 
 
 
 
 
 

063

F558

CALL LIGHT ADAPTATION

 
 
 
 
 
 
 
 
 
 
 
 

064

F558

CALL LIGHTS

 
 
 
 
 
 
 
 
 
 
 
 

065

F558

DINING ACCOMMODATIONS

 
 
 
 
 
 
 
 
 
 
 
 

066

F558

ADAPTIVE EQUIPMENT

 
 
 
 
 
 
 
 
 
 
 
 

067

F558

PROVISION OF ELECTRICAL OUTLETS

 
 
 
 
 
 
 
 
 
 
 
 

068

F558

STAFF INTERACTION

 
 
 
 
 
 
 
 
 
 
 
 

069

F558

ASSISTIVE DEVICES

 
 
 
 
 
 
 
 
 
 
 
 

070

F558

PERSONAL HYGIENE ITEMS

 
 
 
 
 
 
 
 
 
 
 
 

071

F559

MARRIED COUPLES

 
 
 
 
 
 
 
 
 
 
 
 

072

F559

MARRIED COUPLES - ACCOMMODATIONS

 
 
 
 
 
 
 
 
 
 
 
 

073

F559

ROOMMATE CHOICE

 
 
 
 
 
 
 
 
 
 
 
 

074

F559

ROOM CHANGE - NOTICE

 
 
 
 
 
 
 
 
 
 
 
 

075

F560

PAYOR SOURCE - ACCOMMODATION OF NEEDS

 
 
 
 
 
 
 
 
 
 
 
 

076

F560

REASON FOR AND RIGHT TO REFUSE TRANSFER

 
 
 
 
 
 
 
 
 
 
 
 

077

F560

SNF TRANSFER - UNLICENSED SNF

 
 
 
 
 
 
 
 
 
 
 
 

078

F560

TRANSFER - DISTINCT PART FOR ELIGIBILITY

 
 
 
 
 
 
 
 
 
 
 
 

079

F560

TRANSFER - STAFF CONVENIENCE

 
 
 
 
 
 
 
 
 
 
 
 

080

F560

REFUSAL OF TRANSFERS - ELIGIBILITY

 
 
 
 
 
 
 
 
 
 
 
 

081

F561

INFORMED OF RESIDENT RIGHTS

 
 
 
 
 
 
 
 
 
 
 
 

082

F561

RESTRICTION OF ACTIVITIES

 
 
 
 
 
 
 
 
 
 
 
 

083

F561

ACCEPT/DECLINE/MODIFY ACTIVITIES

 
 
 
 
 
 
 
 
 
 
 
 

084

F561

NOTIFICATION OF RESIDENT RIGHTS ON ADMISSION

 
 
 
 
 
 
 
 
 
 
 
 

085

F561

TIMES OF ACTIVITIES

 
 
 
 
 
 
 
 
 
 
 
 

086

F561

PROVIDERS OF HEALTH CARE SERVICES

 
 
 
 
 
 
 
 
 
 
 
 

087

F561

PARTICIPATION

 
 
 
 
 
 
 
 
 
 
 
 

088

F561

RESIDENT'S PERSONAL CARE/DAILY ROUTINE

 
 
 
 
 
 
 
 
 
 
 
 

089

F561

SLEEP TIMES

 
 
 
 
 
 
 
 
 
 
 
 

090

F561

TIME AND BATHING METHOD PREFERENCE

 
 
 
 
 
 
 
 
 
 
 
 

091

F561

ASSISTANCE WITH ACTIVITIES

 
 
 
 
 
 
 
 
 
 
 
 

092

F561

RESIDENT CHOICES

 
 
 
 
 
 
 
 
 
 
 
 

093

F561

ROOMMATE CHOICE

 
 
 
 
 
 
 
 
 
 
 
 

094

F561

SMOKE FREE

 
 
 
 
 
 
 
 
 
 
 
 

095

F561

INTERACTION INSIDE/OUTSIDE OF FACILITY

 
 
 
 
 
 
 
 
 
 
 
 

096

F561

PARTICIPATION IN OTHER ACTIVITIES

 
 
 
 
 
 
 
 
 
 
 
 

097

F562

ACCESS TO REPRESENTATIVE OF THE SECRETARY

 
 
 
 
 
 
 
 
 
 
 
 

098

F562

ACCESS TO REPRESENTATIVE OF THE STATE

 
 
 
 
 
 
 
 
 
 
 
 

099

F562

ACCESS TO STATE OMBUDSMAN

 
 
 
 
 
 
 
 
 
 
 
 

100

F562

ACCESS TO RESIDENT'S PHYSICIAN

 
 
 
 
 
 
 
 
 
 
 
 

101

F562

ACCESS TO AGENCIES

 
 
 
 
 
 
 
 
 
 
 
 

102

F562

ACCESS TO AGENCIES FOR MENTALLY DISABLED

 
 
 
 
 
 
 
 
 
 
 
 

103

F562

ACCESS AND VISITATION - RESIDENT'S REPRESENTATIVE

 
 
 
 
 
 
 
 
 
 
 
 

104

F563

ACCESS AND VISITATION - CHOOSING

 
 
 
 
 
 
 
 
 
 
 
 

105

F563

ACCESS AND VISITATION - FAMILY OR OTHER RELATIVES

 
 
 
 
 
 
 
 
 
 
 
 

106

F563

ACCESS AND VISITATION - OTHER VISITORS

 
 
 
 
 
 
 
 
 
 
 
 

107

F563

ACCESS AND VISITATION - ANY ENTITY

 
 
 
 
 
 
 
 
 
 
 
 

108

F563

VISITATION - WRITTEN POLICIES AND PROCEDURES

 
 
 
 
 
 
 
 
 
 
 
 

109

F564

ACCESS AND VISITATION - POLICY AND PROCEDURE

 
 
 
 
 
 
 
 
 
 
 
 

110

F564

ACCESS AND VISITATION - RESTRICTIONS

 
 
 
 
 
 
 
 
 
 
 
 

111

F564

ACCESS AND VISITATION - NOT RESTRICT, LIMIT OR DENY

 
 
 
 
 
 
 
 
 
 
 
 

112

F564

ACCESS AND VISITATION - EQUAL PRIVILEGES

 
 
 
 
 
 
 
 
 
 
 
 

113

F565

PARTICIPATION IN RESIDENT GROUPS

 
 
 
 
 
 
 
 
 
 
 
 

114

F565

PRIVATE SPACE FOR RESIDENT & FAMILY GROUPS

 
 
 
 
 
 
 
 
 
 
 
 

115

F565

RESIDENT GROUPS - PRIVATE SPACE

 
 
 
 
 
 
 
 
 
 
 
 

116

F565

GROUP MEETING ATTENDANCE

 
 
 
 
 
 
 
 
 
 
 
 

117

F565

RESIDENT GROUPS - PERSON TO ASSIST

 
 
 
 
 
 
 
 
 
 
 
 

118

F565

STAFF PERSON DESIGNATED FOR GROUP MEETINGS

 
 
 
 
 
 
 
 
 
 
 
 

119

F565

RESIDENT COUNCIL - GRIEVANCE RESOLUTION

 
 
 
 
 
 
 
 
 
 
 
 

120

F565

DESIGNATED STAFF PERSON FOR GROUP MEETINGS

 
 
 
 
 
 
 
 
 
 
 
 

121

F565

RESIDENT & FAMILY COUNCIL MEETINGS

 
 
 
 
 
 
 
 
 
 
 
 

122

F565

RESIDENT GROUPS

 
 
 
 
 
 
 
 
 
 
 
 

123

F565

FAMILY GROUPS

 
 
 
 
 
 
 
 
 
 
 
 

124

F565

FAMILY MEETINGS

 
 
 
 
 
 
 
 
 
 
 
 

125

F566

WORK - REFUSAL

 
 
 
 
 
 
 
 
 
 
 
 

126

F566

WORK - COMPENSATION

 
 
 
 
 
 
 
 
 
 
 
 

127

F566

WORK - DESCRIPTION

 
 
 
 
 
 
 
 
 
 
 
 

128

F566

WORK - PLAN OF CARE

 
 
 
 
 
 
 
 
 
 
 
 

129

F566

WORK - NATURE

 
 
 
 
 
 
 
 
 
 
 
 

130

F566

WORK - COMPENSATION

 
 
 
 
 
 
 
 
 
 
 
 

131

F566

WORK - ARRANGEMENT

 
 
 
 
 
 
 
 
 
 
 
 

132

F567

PROTECTION OF RESIDENT FUNDS

 
 
 
 
 
 
 
 
 
 
 
 

133

F567

MANAGEMENT OF FUNDS

 
 
 
 
 
 
 
 
 
 
 
 

134

F567

AUTHORIZATION TO MANAGE

 
 
 
 
 
 
 
 
 
 
 
 

135

F567

TRUST FUND - NOT REQUIRED

 
 
 
 
 
 
 
 
 
 
 
 

136

F567

MANAGEMENT OF PERSONAL FUNDS

 
 
 
 
 
 
 
 
 
 
 
 

137

F567

PROTECTION OF FUNDS - TRUST FUND OPTIONAL

 
 
 
 
 
 
 
 
 
 
 
 

138

F567

FUNDS IN EXCESS OF $50

 
 
 
 
 
 
 
 
 
 
 
 

139

F567

FUNDS

 
 
 
 
 
 
 
 
 
 
 
 

140

F567

RESIDENT FUNDS LESS THAN $50

 
 
 
 
 
 
 
 
 
 
 
 

141

F568

PERSONAL FUNDS - ONGOING BALANCE

 
 
 
 
 
 
 
 
 
 
 
 

142

F568

PERSONAL FUNDS - WHAT TRANSACTIONS ARE FOR

 
 
 
 
 
 
 
 
 
 
 
 

143

F568

PERSONAL FUNDS - WHEN TRANSACTIONS OCCURRED

 
 
 
 
 
 
 
 
 
 
 
 

144

F568

RECEIPTS FOR RESIDENT TRANSACTIONS

 
 
 
 
 
 
 
 
 
 
 
 

145

F568

ACCOUNTING

 
 
 
 
 
 
 
 
 
 
 
 

146

F568

COMMINGLING OF FUNDS

 
 
 
 
 
 
 
 
 
 
 
 

147

F568

QUARTERLY STATEMENTS

 
 
 
 
 
 
 
 
 
 
 
 

148

F568

TRUST ACCOUNT - RECEIPT OF QUARTERLY STATEMENT

 
 
 
 
 
 
 
 
 
 
 
 

149

F569

NOTICE OF BALANCES - SSI RESOURCE LIMIT

 
 
 
 
 
 
 
 
 
 
 
 

150

F569

NOTICE BALANCES - SSI RESOURCE LIMIT, ELIGIBILITY

 
 
 
 
 
 
 
 
 
 
 
 

151

F569

CONVEYANCE OF PERSONAL FUNDS

 
 
 
 
 
 
 
 
 
 
 
 

152

F570

ASSURANCE OF FINANCIAL SECURITY

 
 
 
 
 
 
 
 
 
 
 
 

153

F571

ITEMS COVERED BY MEDICARE - MEDICAID

 
 
 
 
 
 
 
 
 
 
 
 

154

F571

PERSONAL FUNDS (MEDICARE) - NURSING SERVICES

 
 
 
 
 
 
 
 
 
 
 
 

155

F571

PERSONAL FUNDS (MEDICAID) - NURSING SERVICES

 
 
 
 
 
 
 
 
 
 
 
 

156

F571

PERSONAL FUNDS (MEDICARE) - FOOD AND NUTRITION

 
 
 
 
 
 
 
 
 
 
 
 

157

F571

PERSONAL FUNDS (MEDICAID) - FOOD AND NUTRITION

 
 
 
 
 
 
 
 
 
 
 
 

158

F571

CHARGES FOR NON-COVERED ITEMS (MEDICAID)

 
 
 
 
 
 
 
 
 
 
 
 

159

F571

PERSONAL FUNDS (MEDICARE) - ACTIVITY PROGRAMS

 
 
 
 
 
 
 
 
 
 
 
 

160

F571

PERSONAL FUNDS (MEDICAID) - ACTIVITY PROGRAMS

 
 
 
 
 
 
 
 
 
 
 
 

161

F571

PERSONAL FUNDS (MEDICAID) - MAINTENANCE SERVICES

 
 
 
 
 
 
 
 
 
 
 
 

162

F571

PERSONAL FUNDS (MEDICARE) - MAINTENANCE SERVICES

 
 
 
 
 
 
 
 
 
 
 
 

163

F571

PERSONAL FUNDS (MEDICARE) - PERSONAL HYGIENE

 
 
 
 
 
 
 
 
 
 
 
 

164

F571

PERSONAL FUNDS (MEDICAID) - PERSONAL HYGIENE

 
 
 
 
 
 
 
 
 
 
 
 

165

F571

PERSONAL FUNDS (MEDICARE) - SOCIAL SERVICES

 
 
 
 
 
 
 
 
 
 
 
 

166

F571

PERSONAL FUNDS (MEDICAID) - SOCIAL SERVICES

 
 
 
 
 
 
 
 
 
 
 
 

167

F571

PERSONAL FUNDS (MEDICARE) - HOSPICE

 
 
 
 
 
 
 
 
 
 
 
 

168

F571

PERSONAL FUNDS (MEDICAID) - HOSPICE

 
 
 
 
 
 
 
 
 
 
 
 

169

F571

RESIDENT TRUST FUND - TELEPHONE

 
 
 
 
 
 
 
 
 
 
 
 

170

F571

RESIDENT TRUST FUND - TV - RADIO - COMPUTER - NOT INCLUDED

 
 
 
 
 
 
 
 
 
 
 
 

171

F571

PERSONAL COMFORT ITEMS

 
 
 
 
 
 
 
 
 
 
 
 

172

F571

COSMETIC AND GROOMING ITEMS

 
 
 
 
 
 
 
 
 
 
 
 

173

F571

PERSONAL CLOTHING

 
 
 
 
 
 
 
 
 
 
 
 

174

F571

PERSONAL READING MATTER

 
 
 
 
 
 
 
 
 
 
 
 

175

F571

GIFTS

 
 
 
 
 
 
 
 
 
 
 
 

176

F571

FLOWERS

 
 
 
 
 
 
 
 
 
 
 
 

177

F571

ENTERTAINMENT

 
 
 
 
 
 
 
 
 
 
 
 

178

F571

SPECIAL CARE SERVICES

 
 
 
 
 
 
 
 
 
 
 
 

179

F571

PRIVATE ROOM

 
 
 
 
 
 
 
 
 
 
 
 

180

F571

SPECIALTY FOODS

 
 
 
 
 
 
 
 
 
 
 
 

181

F571

PRESCRIBED SPECIALTY FOOD

 
 
 
 
 
 
 
 
 
 
 
 

182

F571

OVERALL CULTURAL AND RELIGIOUS FACILITY MAKE-UP

 
 
 
 
 
 
 
 
 
 
 
 

183

F571

PERSONAL FUNDS (MEDICAID) - COVERED SERVICES

 
 
 
 
 
 
 
 
 
 
 
 

184

F571

PERSONAL FUNDS (MEDICARE) - COVERED SERVICES

 
 
 
 
 
 
 
 
 
 
 
 

185

F571

REQUESTS FOR ITEMS AND SERVICES

 
 
 
 
 
 
 
 
 
 
 
 

186

F571