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 the 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.