Section R. 400.14301 - Resident admission criteria; resident assessment plan; emergency admission; resident care agreement; physician's instructions; health care appraisalRule 301.
(1) A licensee shall not accept, retain, or care for a resident who requires continuous nursing care. This does not preclude the accommodation of a resident who becomes temporarily ill while in the home, but who does not require continuous nursing care.(2) A licensee shall not accept or retain a resident for care unless and until the licensee has completed a written assessment of the resident and determined that the resident is suitable pursuant to all of the following provisions: (a) The amount of personal care, supervision, and protection that is required by the resident is available in the home.(b) The kinds of services, skills, and physical accommodations that are required of the home to meet the resident's needs are available in the home.(c) The resident appears to be compatible with other residents and members of the household.(3) A group home shall not accept or retain a person who requires isolation or restraint as specified in R 400.14308.(4) At the time of admission, and at least annually, a written assessment plan shall be completed with the resident or the resident's designated representative, the responsible agency, if applicable, and the licensee. A licensee shall maintain a copy of the resident's written assessment plan on file in the home.(5) If a resident is referred for emergency admission and the licensee agrees to accept the resident, a written assessment plan shall be completed within 15 calendar days after the emergency admission. The written assessment shall be completed in accordance with the provisions specified in subrules (2) and (4) of this rule.(6) At the time of a resident's admission, a licensee shall complete a written resident care agreement. A resident care agreement is the document which is established between the resident or the resident's designated representative, the responsible agency, if applicable, and the licensee and which specifies the responsibilities of each party. A resident care agreement shall include all of the following: (a) An agreement to provide care, supervision, and protection, and to assure transportation services to the resident as indicated in the resident's written assessment plan and health care appraisal.(b) A description of services to be provided and the fee for the service.(c) A description of additional costs in addition to the basic fee that is charged.(d) A description of the transportation services that are provided for the basic fee that is charged and the transportation services that are provided at an extra cost.(e) An agreement by the resident or the resident's designated representative or responsible agency to provide necessary intake information to the licensee, including health-related information at the time of admission.(f) An agreement by the resident or the resident's designated representative to provide a current health care appraisal as required by subrule (10) of this rule.(g) An agreement by the resident to follow the house rules that are provided to him or her.(h) An agreement by the licensee to respect and safeguard the resident's rights and to provide a written copy of these rights to the resident.(i) An agreement between the licensee and the resident or the resident's designated representative to follow the home's discharge policy and procedures.(j) A statement of the home's refund policy. The home's refund policy shall meet the requirements of R 400.14315.(k) A description of how a resident's funds and valuables will be handled and how the incidental needs of the resident will be met.(l) A statement by the licensee that the home is licensed by the department to provide foster care to adults.(7) A department resident care agreement form shall be used unless prior authorization for a substitute form has been granted, in writing, by the department. A resident shall be provided the care and services as stated in the written resident care agreement.(8) A copy of the signed resident care agreement shall be provided to the resident or the resident's designated representative. A copy of the resident care agreement shall be maintained in the resident's record.(9) A licensee shall review the written resident care agreement with the resident or the resident's designated representative and responsible agency, if applicable, at least annually or more often if necessary.(10) At the time of the resident's admission to the home, a licensee shall require that the resident or the resident's designated representative provide a written health care appraisal that is completed within the 90-day period before the resident's admission to the home. A written health care appraisal shall be completed at least annually. If a written health care appraisal is not available at the time of an emergency admission, a licensee shall require that the appraisal be obtained not later than 30 days after admission. A department health care appraisal form shall be used unless prior authorization for a substitute form has been granted, in writing, by the department.(11) A licensee shall contact a resident's physician for instructions as to the care of the resident if the resident requires the care of a physician while living in the home. A licensee shall record, in the resident's record, any instructions for the care of the resident.Mich. Admin. Code R. 400.14301