Section 16.03.19.260 - ADMISSIONSThe provider must only admit or retain residents in the home under Section 39-3507, Idaho Code.
01.Department Review. The provider must obtain approval from the Department for each admission prior to the prospective resident moving into the home. The following must be provided to the regional certifying agent where the home is located:a. Name, gender, and date of birth of the prospective resident;b. The contemplated date of admittance of the prospective resident into the home;c. The prospective resident's history and physical from the resident's healthcare professional, conducted within the previous twelve (12) month period and reflecting the resident's current health status. If the resident is private-pay, the documentation must include a statement from the resident's healthcare professional indicating that the resident is appropriate for CFH care;d. A list of the prospective resident's current medications and treatments from their healthcare professional;e. Contact information for the prospective resident's healthcare professionals;f. Contact information for the prospective resident's representative, if applicable;g. The prospective resident's plan of service from another healthcare setting, or any such plan of service conducted for the resident within the previous six (6) months, if one exists, when the resident transfers to the home from another healthcare setting; andh. Other information requested by the Department relevant to the appropriateness of the admission and the provider's ability to provide adequate care.02.Notification. Within five (5) business days of receipt of the documents under Subsection 260.01 of this rule, the Department will notify the provider whether the proposed admission is approved or denied. When verbal notification is given, the Department will provide follow-up written communication to the provider stating the approval or denial within ten (10) business days.03.Emergency Admission. The provider may not accept an emergency admission without prior approval from the Department except under the following conditions: a. The provider may make a conditional admission when the provider reasonably believes the CFH has the ability to provide adequate care to the resident and the request for an emergency placement occurs after normal business hours and the provider is unable to contact the Department for prior approval. The provider must notify the resident or the resident's representative that the admission is conditional upon Department approval.b. The provider must notify the regional certifying agent where the home is located by the next business day when a conditional emergency admission is made.c. The provider must follow the regular admission process under Subsection 260.01 of this rule within two (2) business days of making a conditional emergency admission. The Department may deny the placement and require the provider to immediately transfer the resident when the Department has reasonable cause to believe the provider lacks the ability to provide adequate care to the resident.04.Admission Agreement. At the time of admission to the CFH, the provider and the resident or resident's representative, if applicable, must enter into an admission agreement. The agreement must be in writing and be signed and dated by both parties. The agreement must, in itself or by reference to the resident's plan of service, include provisions addressing at least the following: a. Whether or not the resident intends to assume responsibility for self-administering medication;b. Steps the provider will take in the event the resident is not able to carry out self-preservation (e.g., performance of life-saving measures, contacting 9-1-1, honoring an order not to resuscitate, etc.);c. Whether or not the provider will accept responsibility for managing the resident's funds;d. How a partial month's refund will be managed;e. Arrangements for the return of the resident's belongings should the resident leave the home;f. Amount of liability coverage provided by the homeowner's or renter's insurance policy and whether the insurance policy covers the resident's personal belongings;g. A requirement of written notice on the part of the provider, resident, or resident's representative of at least thirty (30) calendar days prior to termination of the admission agreement, when the termination is not for a situation under Subsection 261.01.b. of these rules;h. Conditions under which an emergency temporary placement will be made consistent with Subsection 261.02 of these rules;i. Consent or denial for the provider to supply pertinent information from the resident's record to the resident's healthcare professionals or, in case of transfer, current or prospective care setting;j. Responsibility of the provider to obtain consent for medical procedures from the resident's legal guardian or power of attorney for healthcare if the resident is unable to make medical decisions;k. Resident responsibilities as appropriate that do not conflict with the CFH requirements;l. Amount the provider will charge the resident for room and board on a monthly basis, and a separately listed amount for any monthly care charges for which the resident is responsible;m. A requirement of written notice to the resident or resident's representative of at least thirty (30) calendar days before the provider implements changes to charges under Subsection 260.04.l. of this rule;n. Protections that address eviction processes and appeals comparable to those provided under Idaho landlord tenant law. The admission agreement must either: i. Adopt the eviction and appeal processes under Title 6, Chapter 3, Idaho Code; orii. Adopt the eviction and appeal processes as described in the version of the admission agreement provided by the Department; ando. Additional conditions as agreed upon by both parties but consistent with the CFH requirements.Idaho Admin. Code r. 16.03.19.260