At the time of admission the facility shall:
1. Obtain from the client or the client's family or representative, their plan for both routine and emergency medical care to include the name of physician(s) and provisions and authorization for emergency medical care;2. Document that the client and/or representative was informed of the facility's emergency and evacuation procedures;3. Obtain a copy of any existing executed Medical Power of Attorney or a Living Will. The facility shall maintain a copy of such documents; and4. Shall execute, in writing, an admission agreement, including a financial agreement. This agreement shall be prepared and signed by the Director and the client or the client's responsible party, in two or more copies. One copy shall be given to the client or his/her responsible party, and one copy placed on file in the licensed facility. As a minimum, this agreement shall contain specifically: a. Clear and specific occupancy criteria and procedures (admission, transfer, and discharge);b. Basic services to be made available;c. Basic charges agreed upon;d. Optional services which are available;e. Statement of non-covered services;f. Payor or funding source;g. Period to be covered in the charges;h. Services for which special charges are made;i. Agreement regarding refunds for any payments made in advance.j. Client's Code of Conduct for participation in the program and client's agreement to abide by the same;k. A Notice that the MS State Department of Health has the authority to examine clients' records as part of the evaluation of the facility;l. Division of responsibility between the facility, client, family, or others (e.g., arranging for or overseeing medical care, purchase of essential or desired supplies, emergencies, monitoring of health, handling or finances);n. Explanation of the grievance procedure and appeals process;o. The development of a service plan specific to the individual client, including participation of the client and/or representative in the development of the plan;p. A statement that the Director shall make the client's responsible party aware, in a timely manner, of any changes in client's status, including those which require transfer and discharge; or Directors who have been designated as a client's responsible party shall ensure prompt and efficient action to meet client's needs;q. State that the client or his responsible party shall be furnished a receipt signed by the licensee of the licensed facility or his lawful agent, for all sums of money paid to the licensed facility; andr. Evidence of written notification provided to the client/responsible party when basic charges and/or licensed facility policies change.5. No agreement or contract shall be entered into between the licensee and the client or his responsible agent which will relieve the licensee of the responsibility for the protection of the person and personal property of the individual admitted to the licensed facility for care. 6. Within seven days of admission, the facility shall complete an assessment to determine the needs and preferences of the client. The assessment shall include but is not limited to: a. Review of physical health, psycho-social status, and cognitive status and determination of services necessary to meet those needs;b. A summary of the client's health needs, if any, including medication, treatment and special diet orders obtained from professionals with responsibility for the client's physical or emotional health;c. A written description of the activities of daily living and instrumental activities of daily living for which the client requires assistance, if any, obtained from the client, the client's physician, family, or representative;d. The client's interests, likes and dislikes; e. Recreational and social activities which are suitable or desirable;f. A plan for handling special emergency evacuation needs; andg. Additional information or documents pertinent to the client's service planning, such as guardianship papers, Power of Attorney, Living Wills, Do-Not-Resuscitate orders, or other relevant medical documents.7. Within 14 days after admission, the facility, with input from the client and/or his/her representative, shall develop and implement a service plan using information from the assessment. The service plan shall include: b. The scope, frequency, and duration of services and monitoring that will be provided to meet the client's needs;c. Staff responsible for providing the services inclusive of third party providers;d. Current medication list from the client's primary care physician; ande. Identification of level of assistance client requires.8. The facility shall have a reporting procedure in place for notifying appropriate individuals of observed or reported changes in a client's condition.9. The client's service plan shall be revised when a client's condition or preferences change. The revised service plan shall be signed by the client and the representative, if applicable, and the designated facility staff.10. The service plan shall be monitored on an ongoing basis to determine its continued appropriateness and to identify when a client's condition or preferences have changed. A documented review of the service plan shall be made at least every quarter.11. All plans and reviews shall be signed by the client, facility staff, and the representative, if applicable.15 Miss. Code. R. § 16-1-4.11.2
Miss. Code Ann. § 41-75-13