Section He-P 830.15 - Client Admission Criteria, Temporary Absence, Transfer, and Discharge Criteria(a) Except for emergency treatment or involuntary admissions ordered under RSA 135-C:27-54, all placements of clients in the programs and services of the PRTP shall be voluntary and shall require the documented consent of the client or guardian. Placements shall be made into those programs and services which least restrict the client's freedom of movement, ability to make decisions, and participation in his community while achieving the purposes of habilitation and treatment.(b) The licensee shall only admit an individual or retain a client whose needs are compatible with the facility and the services and programs offered, whose needs can be met by the PRTP, and who are:(1) Mobile and can self-evacuate. However, reasonable accommodation shall be made when possible to admit clients who have mobility impairment, provided that evacuation assistance needs can be met;(2) A voluntary admission in accordance with He-M 405;(3) A voluntary admission by guardian;(4) An involuntary emergency admission (IEA) pursuant to RSA 135-C:27-33 beginning with initial custody and continuing through the day of the probable cause hearing;(5) An IEA pursuant to RSA 135-C:27-33 for the period of such admission following the probable cause hearing; or(6) Non-emergency involuntary admissions (IA) pursuant to RSA 135-C:34-54.(c) At the time of admission, the licensee shall provide a written copy to the client and the guardian or agent, if any, or personal representative, and receive written verification of receipt for the following:(1) An admissions contract including the following information:a. The basic daily or weekly fee;b. A list of the core services required by He-P 830.14(c) that are covered by the basic fee;c. The APRTP's house rules;d. The APRTP's responsibility for client discharge planning;e. The licensee's policies and procedures regarding:1. Arranging for the provision of transportation;2. Handling of client funds pursuant to RSA 151:24 and He-P 830.14(p);3. Storage and loss of the client's personal property; andf. The licensee's medication management services;(2) A copy of the most current version of the patients' bill of rights under RSA 151:21 and the APRTP's policy and procedure for implementing the bill of rights pursuant to RSA 151:20, II;(3) The APRTP's policy and procedure for handling reports of abuse, neglect or exploitation which shall be in accordance with RSA 161-F:46 and RSA 169-C:29;(4) Information on advanced directives; (5) Whether or not personnel are trained in cardiopulmonary resuscitation (CPR), first aid or both; and(6) A copy of the facility's policy on restraint usage.(d) A licensee shall not deny admission to any person because that person does not have a guardian or an advanced directive, such as a living will or durable power of attorney for health care, established in accordance with RSA 137-H or RSA 137-J.(e) The client shall be transferred or discharged, as defined under RSA 151:19, I-a and VII, in accordance with RSA 151:21, V, for reasons including, but not limited to, the following: (1) The client's medical or other needs exceed the services offered by the licensee;(2) The client cannot be safely evacuated in accordance with RSA 153:1, VI-a, except as modified in Saf-FMO 300;(3) For lack of payment for care rendered; or(4) For documented non-compliance with the facility's rules included in the admission agreement provided said rules are not in conflict with RSA 151:21, V.(f) The licensee shall develop a discharge plan with the input from the client, guardian, agent, or surrogate decision maker, if any.(g) The following documents shall accompany the client upon transfer: (1) The most recent client assessment tool, treatment plan, and quarterly progress notes;(2) The most recent nursing assessment, if applicable;(3) The most recent multi-disciplinary treatment plan, if applicable;(4) Current medication records; and(5) A licensed practitioner's order for transfer, if applicable.(h) If the transfer or discharge referenced in (c) above is required by the reasons listed in RSA 151:26, II(b), a written notice shall be given to the client as soon as practicable prior to transfer or discharge.(i) Notwithstanding (b) and (c) above, a client receiving hospice care from a licensed home health hospice caregiver may remain in the PRTP upon written agreement with the client or his or her legal guardian and the PRTP.N.H. Admin. Code § He-P 830.15
#6154, eff 12-29-95, EXPIRED: 12-29-03
New. #10059, eff 12-23-11
Amended by Volume XL Number 2, Filed January 9, 2020, Proposed by #12952, Effective 12/21/2019, Expires 6/18/2020.Amended by Volume XLI Number 19, Filed May 13, 2021, Proposed by #13195, Effective 4/24/2021, Expires 4/24/2031.