Ariz. Admin. Code § 9-10-508

Current through Register Vol. 30, No. 50, December 13, 2024

Section R9-10-508 - Transfer; Discharge

A. An administrator, in coordination with the Arizona Department of Economic Security, Division of Developmental Disabilities, shall ensure that:

1. A resident is transferred or discharged if:

a. The ICF/IID is not authorized or not able to meet the needs of the resident, or

b. The resident's behavior is a threat to the health or safety of the resident or other individuals at the ICF/IID; and

2. Documentation of a resident's transfer or discharge includes:

a. The date of the transfer or discharge;

b. The reason for the transfer or discharge;

c. A 30-day written notice except:

i. In an emergency, or

ii. If the resident no longer requires rehabilitation services or habilitation services as determined by a physician or the physician's designee;

d. A notation by a physician or the physician's designee if the transfer or discharge is due to any of the reasons listed in subsection (A)(1); and

e. If applicable, actions taken by a personnel member to protect the resident or other individuals if the resident's behavior is a threat to the health and safety of the resident or other individuals in the ICF/IID and beyond the ICF/IID's scope of services.

B. Except for a transfer of a resident due to an emergency, an administrator shall ensure that:

1. A qualified intellectual disabilities professional or, if the resident has a nursing care plan or medical care plan, a registered nurse coordinates the transfer and the services provided to the resident;

2. According to policies and procedures:

a. An evaluation of the resident is conducted before the transfer;

b. Information from the resident's medical record, including orders that are in effect at the time of the transfer, is provided to a receiving health care institution; and

c. A personnel member explains risks and benefits of the transfer to the resident or the resident's representative; and

3. Documentation in the resident's medical record includes:

a. Communication with an individual at a receiving health care institution;

b. The date and time of the transfer;

c. The mode of transportation; and

d. If applicable, the name of the personnel member accompanying the resident during a transfer.

C. Except in an emergency, a qualified intellectual disabilities professional or, if the resident has a nursing care plan or medical care plan, a registered nurse shall ensure that before a resident is discharged:

1. Written follow-up instructions are developed with the resident or the resident's representative that include:

a. Information necessary to meet the resident's need for medical services and nursing services; and

b. The state long-term care ombudsman's name, address, and telephone number;

2. A copy of the written follow-up instructions is provided to the resident or the resident's representative; and

3. A discharge summary:

a. Is developed by a qualified intellectual disabilities professional or, if the resident has a nursing care plan or medical care plan, a registered nurse;

b. Authenticated by the resident's attending physician or designee; and

c. Includes:

i. The resident's need for rehabilitation services or habilitation services at the time of transfer or discharge;

ii. The resident's need for medical services or nursing services;

iii. The resident's developmental, behavioral, social, and nutritional status;

iv. The resident's medical and psychosocial history;

v. The date of the discharge; and

vi. The location of the resident after discharge.

Ariz. Admin. Code § R9-10-508

Adopted as an emergency effective October 26, 1988, pursuant to A.R.S. § 41-1026, valid for only 90 days (Supp. 88-4). Emergency expired. Readopted without change as an emergency effective January 27, 1989, pursuant to A.R.S. § 41-1026, valid for only 90 days (Supp. 89-1). Emergency expired. Readopted without change as an emergency effective April 27, 1989, pursuant to A.R.S. § 41-1026, valid for only 90 days (Supp. 89-2). Emergency expired. Readopted without change as an emergency effective July 31, 1989, pursuant to A.R.S. § 41-1026, valid for only 90 days (Supp. 89-3). Permanent rules adopted with changes effective October 30, 1989 (Supp. 89-4). Section repealed, new Section adopted effective April 4, 1994 (Supp. 94-2). Amended by exempt rulemaking at 19 A.A.R. 2015, effective October 1, 2013 (Supp. 13-2). Amended by exempt rulemaking at 20 A.A.R. 1409, effective 7/1/2014. Adopted by final rulemaking at 25 A.A.R. 1222, effective 4/25/2019. Amended by exempt rulemaking at 26 A.A.R. 72, effective 1/1/2020.