Section 483.204 - Provision of a hearing and appeal system(a) Each State must provide a system for:(1) A resident of a SNF or a NF to appeal a notice from the SNF or NF of intent to discharge or transfer the resident; and(2) An individual who has been adversely affected by any PASARR determination made by the State in the context of either a preadmission screening or an annual resident review under subpart C of part 483 to appeal that determination.(b) The State must provide an appeals system that meets the requirements of this subpart, § 483.15(h) , and part 431 subpart E of this chapter.57 FR 56506, Nov. 30, 1992; 58 FR 25784, Apr. 28, 1993, as amended at 81 FR 68871 , Oct. 4, 2016