Residents' Rights
TRUE/FALSE? Once an individual enters a rest home, they lose some of their rights as a citizen or resident of the United States?
WHAT is FALSE?
A resident needs daily insulin injections. Staff have been giving him the injections. The resident would like to start giving himself the shots. Is this resident's choice protected by Residents' Rights?
What is YES?
Provided that the resident has been assessed to be capable of administering their own medication.
Married residents living in the same facility have the right to what?
What is LIVE IN THE SAME ROOM?
Where must the results of the State or Federal survey be placed?
What is IN A PLACE READILY ACCESSIBLE TO RESIDENTS, FAMILY MEMBERS, ETC.?
If a resident has a complaint, they have the right to what?
What is the RIGHT TO VOICE GRIEVANCES (COMPLAIN) to the facility?
WHAT is the RIGHT TO VOICE GRIEVANCES (COMPLAIN) to the Ombudsman, DPH, or anyother agency or entity that hears grievances?
Addressing residents with the name or pronoun of their choice is an example of treating the resident with what?
What is RESPECT?
What is DIGNITY?
A resident is not feeling well, and chooses not to participate in his care plan meeting. In the care plan meeting with the resident's family member, who is the resident's activated health care proxy agent, it is decided that the resident's pain medication should be discontinued in the early afternoon due to drowsiness. The next day the nurse does not deliver pain medication in the early afternoon. The resident is upset. This is the first she's heard of this change. Is there anything in the regulations that requires a different approach?
What is YES?
The resident has a right to be informed, in advance, of changes in their care plan.
When preparing food and meals, what resident input must the facility take into consideration?
What ARE THE RESIDENT'S NEEDS AND PREFERENCES?
What IS THE OVERALL CULTURAL AND RELIGIOUS MAKE-UP OF THE REST HOME?
The resident is entitled to privacy in what types of communications?
What are SPOKEN COMMUNICATIONS (in person and phone)
What are WRITTEN COMMUNICATIONS? (mail)
What are ELECTRONIC COMMUNICATIONS (email)?
What is an example of an environmental issue that may affect residents?
What is LIGHTING?
What is NOISE?
What is TEMPERATURE?
What is CLEANLINESS?
There is a rest home resident who is difficult for staff and other residents to deal with socially. There have been many complaints about her hoarding food in her room. Can the facility discharge the resident?
What is NO.
There are reasons for which a rest home can issue a resident a discharge notice, and being difficult or hoarding are not on that list.
Reasons: not paying bill, facility closing, needing higher level of care that facility cannot provide, Danger to self, danger to others, etc.
The daughter of a resident would like her mother to return to the community to live with her. The resident wants to stay at the rest home. The Health Care Proxy Agent has not been activated and there is no Power of Attorney, or guardianship. Does the daughter have a right to insist that her mother leave the facility?
What is NO.
A male resident has a friend that has entered the rest home. He would like his friend to share a room with him. His friend agrees this would be great. To accommodate the resident, facility staff proposes to move the resident's current roommate to a different room. What is the facility required to do before moving the resident?
What is GET THE CONSENT OF THE RESIDNET BEING MOVED?
The resident or their substituted decision maker must be given written notice that must include the reason for the change.
Rest homes are mandated to protect the right of residents to communicate with people outside of the facility. In order to accomplish this, the facility should provide reasonable access to these items.
What is A TELEPHONE?
What is STATIONERRY, WRITING IMPLEMENTS, POSTAGE, and ABILITY TO SEND MAIL?
What is THE INTERNET? (to the extent available in the facility)
What type of environment should the facility strive to provide?
What is HOME-LIKE?
In planning activities and interactions the facility must consider the resident’s what?
What are PREFERENCES?
What are CHOICES?
A resident is being treated for cancer with prescription medication. There is some hope that, with the help of the medication, the resident will "beat" the cancer. The nurse attempts to provide the resident with his morning medication and the resident refuses. He tells the RP that he is considering discontinuing treatment. Does the resident have the right to refuse or discontinue his medication?
What is YES?
The rest home manages the funds for a resident who makes a request for less than $100 (or for Medicaid residents, $50). When is the facility required to provide the funds?
What is AS SOON AS POSSIBLE?
What is NO LATER THAN THE SAME DAY?
When a resident is admitted to a rest home, what information should they be provided with?
What are RIGHTS & RESPONSIBILITIES?
What are SERVICES PROVIDED?
What are COSTS OF ADDITIONAL SERVICES?
A resident is under the care of a guardian. The guardian does not want the Ombudsman to visit with the resident. In an attempt to honor the guardian's request, the facility asks the Ombudsman not to visit with the resident. Is the facility within it's authority to make such a request?
What is NO?
TRUE or FALSE? Rest home residents do not have the right to pursue romantic and/or sexual relationships with other residents or community members.
What is FALSE?
Unless there is a written legal document that specifies that someone else has the right to control who the resident can relate with.
There is a resident who has dementia and cries out all night long. TRUE or FALSE?:It is appropriate for the rest home to request that the resident's doctor prescribe an antipsychotic medication, in an effort to help her calm down and keep things quiet for the other residents.
What is FALSE?
The use of antipsychotics for people with dementia is not supported. The use of an antipsychotic on a resident with dementia but no mental illness can be dangerous, and is considered a restraint.
Name an individual to whom the facility must provide 24 hour immediate access to any resident.
Who is the OMBUDSMAN?
Who are immediate family and other relatives?
Who is the resident’s physician?
Who is the resident’s representative?
Who is a representative of the protection and advocacy systems?
These are changes in the resident's status that require the facility to immediately notify a resident and notify the resident’s representative (consistent with the representative's authority).
What is AN ACCIDENT involving the resident which results in injury and has the potential for requiring physician intervention?
What is a SIGNIFICANT CHANGE in the resident’s physical, mental or psychosocial status (deterioration in health, mental or psychosocial status in either clinical complications or life-threatening conditions)?
What is a NEED TO CHANGE TREATMENT significantly (a need to DC and existing treatment due to adverse consequences or to start a new form of treatment).
Does a resident have the right to smoke if the rest home has a no-smoking policy?
What is YES?
Residents have the right to change their minds
Residents have the right to reasonable accomodation.