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Residents' rights in a nursing home

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By The Paul F. Serpas Report - The St. Bernard News, April 27, 2005

    

   Throughout the country those who have relatives and friends in nursing homes are often frustrated and worried that their loved ones are not receiving the proper level of care, not only in what they consider the essential health related areas, but also in the areas of personal kindness, understanding and comfort that nursing home residents should expect and, indeed, are entitled to under the umbrellas of the Nursing Home Reform Law and the Americans with Disabilities Act.

  Although these laws are strongly enforced and vigorously supported, many persons whose concerns they address are not aware of them.

   Here, then, as adapted from the manual "Nursing Homes, Getting Good Care There," published the National Citizens Coalition for Nursing Home Reform in Washing D.C. are, but not all of the expressed rights of nursing home residents.

   For more information, call the National Citizens Coalition for Nursing Home Reform at (202) 332-2275.

RESIDENTS' RIGHTS

IN A NURSING HOME

   All nursing home residents have rights protected by the Nursing Home Reform Law and Americans with Disabilities Act.  Family members should be aware of these rights to ensure that their loved ones are receiving the best care possible.

Access to information.

   Residents have the right to:

·       Information on all services available and the changes for those services. 

·       Information on the facility's policies, procedures, rules, and regulations. 

·       Information on how to con-tact their state ombudsman and licensure office and advocacy groups. 

·       Review the state survey  reports on the facility. 

·       Daily communication in their own language.

·       Assistance if there is sensory impairment.

Participation in care.

   Residents have the right to:

·       Receive adequate or appropriate care. 

·       Be informed of their medical condition and participate in treatment planning. 

·       Refuse medication and treatment and be offered treatment alternatives. 

·       Participate in discharge planning.

·       Review their medical records.

Make independent choices.       

   Residents have the right to:      

·      Choose their physician

·      Participate in activities in the facility and community.

·      Participate in a residents' council.

Privacy and confidentiality.

   Residents have the right to:

·      Private and unrestricted communication, including privacy for phone calls, mail, and meetings with family, friends, and residents.

·      Access to any entity or individual that provides health, social, legal, and other services.

·      Confidentiality regarding medical, personal, and financial affairs.

Dignity, respect, and freedom.

   Residents have the right to:

·      Be free from mental and physical abuse. 

·      Be free from physical and chemical restraints. 

·      Self-determination. 

·      Be treated with consider-ation, dignity, and respect.

Security for possessions.           

   Residents have the right to:

·      Manage personal financial affairs. 

·      File a complaint with the state survey and agency for abuse, neglect, or mis-appropriation of property.

Transfers and discharges.         

   Residents have the right to:

·      Be transferred or discharged only for medical reasons, if health or safety is endan-gered, for nonpayment of services, or if the facility closes. 

·      Be notified of transfer 30 days in advance (in most instances). 

·      Know the reason for transfer, the date it’s effective, the location to which they will be discharged, and a statement of the right to appeal. 

·      Receive preparation from the facility to ensure a safe and orderly transfer. 

·      Have policies and practices upheld by the facility that are the same for all individuals regardless of payment source.

Concerns and complaints.

   Residents have the right to:

·      Present grievances to the staff or others without fear or reprisal. 

·      Have grievances promptly resolved by the facility.