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<regulation prefix="Regulation" num=".34" citation="COMAR 10.07.14.34" title_num="10" subtitle_num="07" chapter_num="14" heading="Relocation and Discharge.">
  <paragraph num="A.">
    <text>Relocation within the Facility.</text>
    <paragraph num="(1)">
      <text>The assisted living program may not relocate a resident within the facility except in accordance with the terms and conditions of the resident agreement.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>An assisted living program shall notify a resident and the resident representative at least 5 calendar days before a nonemergency relocation within the facility and obtain the consent of the resident or resident representative.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>An assisted living program shall document in the resident’s record how the requirements of this regulation have been met.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Discharge.</text>
    <paragraph num="(1)">
      <text>Discharge of a resident or transfer to another facility or address without the consent of the resident or the resident representative shall be in accordance with the resident agreement.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>An assisted living program shall notify a resident or the resident representative within 30 calendar days before a non-emergency discharge.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>In the event of an emergency, the program shall notify the resident or the resident representative as quickly as possible and document the reason for the emergency and abbreviated notice.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>The assisted living program shall consider the resident’s specific care needs and preferences in developing a safe and appropriate discharge plan.</text>
  </paragraph>
  <paragraph num="D.">
    <text>When the resident is discharged to another facility, the assisted living program shall provide to the receiving facility any information related to the resident that is necessary to ensure continuity of care and services, including, at a minimum, the:</text>
    <paragraph num="(1)">
      <text>Emergency data sheet;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Current medication and treatment orders;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Medication administration records; and</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Most current Resident Assessment Tool.</text>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>When the resident is discharged to home or to a non-facility setting, the assisted living program shall provide the resident and resident representative any information related to the resident that is necessary to ensure continuity of care and services, including, at a minimum, the:</text>
    <paragraph num="(1)">
      <text>Emergency data sheet;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Current medication and treatment orders;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Medication administration records; and</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Most current Resident Assessment Tool.</text>
    </paragraph>
  </paragraph>
  <paragraph num="F.">
    <text>In the event of a health emergency requiring the transfer to an acute care facility, a copy of an emergency data sheet shall accompany the resident to an acute care facility. This data sheet shall, at a minimum, include:</text>
    <paragraph num="(1)">
      <text>The resident’s full name, date of birth, Social Security number, if known, and insurance information;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The name, telephone number, and address of the resident representative;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>The name and telephone number of the resident’s health care practitioner;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>The resident’s current documented diagnoses;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Current medications prescribed for the resident;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>The resident’s known allergies to food or medications, if any;</text>
    </paragraph>
    <paragraph num="(7)">
      <text>The resident’s dietary restrictions, if any;</text>
    </paragraph>
    <paragraph num="(8)">
      <text>Any relevant information concerning the event that precipitated the emergency; and</text>
    </paragraph>
    <paragraph num="(9)">
      <text>Appended copies of:</text>
      <paragraph num="(a)">
        <text>Advance directives;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Maryland Medical Orders for Life-Sustaining Treatment (MOLST) form;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Powers of attorney, if any; and</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Guardianship orders, if any.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="G.">
    <text>Within 30 calendar days of the date of discharge, the assisted living program shall:</text>
    <paragraph num="(1)">
      <text>Give each resident or resident agent:</text>
      <paragraph num="(a)">
        <text>A final statement of account; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Any refunds due; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Return any money, property, or valuables held in trust or custody by the assisted living program.</text>
    </paragraph>
  </paragraph>
  <paragraph num="H.">
    <text>If requested by a resident, a resident representative, a governmental agency, or, on its own initiative, the Office of the Attorney General may:</text>
    <paragraph num="(1)">
      <text>Investigate whether an abuse of a resident’s funds contributed to the decision to discharge the resident; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Make appropriate referrals of the matter to other government agencies.</text>
    </paragraph>
  </paragraph>
</regulation>