1. Involuntary Discharge Checklist
1 – Does Resident Want to Return to NH?
Advocacy Notes
Ask resident at time of admission if s/he wants to return to the NH
If YES, go to (2)
If NO, start own discharge planning process, discuss options & preferences with resident
Resources
2 – Is There a Bed Hold Notice?
Advocacy Notes
Review Bed Hold Notice sent with resident upon transfer to hospital ASAP to identify any problems now
If HOLDING bed, call NH & state resident plans to return post-hospitalization to same bed
If NO bed hold notice, assist resident in obtaining copy of notice from NH
If NH refuses to issue a bed hold notice, contact the LTC Ombudsman
Resources
Supplement: Page 7
Appendices C and D
Website:
OOLTC:
Bed Hold defines who pays for resident bed at NH while hospitalized
Must be in writing
Should be signed by resident or legal representative
Should be included in transfer paperwork from NH
LTC Ombudsman can help
3 – Speak to Administrator
Advocacy Notes
Relay resident’s request to return to NH
If Administrator refuses to allow resident to return, ask if a proper Notice of Involuntary Discharge has been issued and effective date
Resources
Supplement: Page 6
Appendices B and E
Usually 30 day notice is required but exceptions exist (see Supplement)
Must be in writing and has specific legal requirements
30 days to appeal the discharge notice to MDH