105 CMR 164.080
Grievances
The Licensed or Approved Provider shall establish written policy and procedures for the
resolution of patients' or residents' disagreement(s) or dispute(s) arising in relation to treatment
or program requirements. The policy and procedures shall specify:
(A) Patients' and residents' right to grieve actions and/or decisions of the Licensed or Approved
Provider regarding the patient's or resident's treatment;
(B) Steps to be taken to resolve the matter; and
(C) Provisions for a hearing on the matter presided over by an impartial grievance officer who
may be any staff or other person(s) not directly involved in the facts of the incident giving rise
to the action grieved or in the decision to commence the action; provided that the persons
involved in either the facts of the incident or in the decision to commence the proceedings shall
not have authority over the hearing officer(s). Grievance officers shall be selected based upon
their expertise in issues being grieved (e.g., medical officer/medical grievance, administrative
officer/administrative grievance). All hearings may be conducted by telephone or using an
audio-visual, real-time, two-way interactive communication system.