Facility Self-Assessment (Mock Survey) Tool - Nursing Home Help

deny or withdraw consent at any time.
F-173 Ombudsman Access to Records. The facility must
allow representatives of the State Ombudsman to
examine a resident’s clinical records with the
permission of the resident or the resident’s legal
representative, and consistent with State law.
F-174 Telephone. The resident has the right to have
reasonable access to the use of a telephone where calls
can be made without being overheard.
Personal Property (refer to F-252)
F-175 Married Couples. The resident has the right to share a
room with his or her spouse when married residents
live in the same facility and both spouses consent to the
arrangement.
F-176 Self Administration of Drugs. The resident has the
right to self-administer drugs if the interdisciplinary
team has determined that this practice is safe.
F-177 Refused of Certain Transfers. The resident has the
right to refuse a transfer to another room within the
facility if it does not affect the resident’s eligibility or
entitlement to Medicare or Medicaid benefits.
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F-201 Transfer & Discharge Requirements. The facility must
permit each resident to remain in the facility and not
transfer or discharge the resident from the facility
unless:
1. The transfer or discharge is necessary for the
resident’s welfare;
2. The transfer or discharge is appropriate because the
resident’s health has improved;
3. The safety of individuals in the facility is
endangered;
4. The resident (or Medicare or Medicaid) has failed to
pay for a stay at the facility.
5. The facility ceases to operate.
F-202 Documentation of Transfer & Discharge. The
resident’s clinical record must be documented when the
facility transfers or discharges a resident
ADMISSION, TRANSFER AND DISCHARGE
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