Resident Rights and Dignity Flashcards

Under 42 CFR §483.10, a resident's right to refuse treatment means the facility must:

Answer: Honor the refusal and document it, with staff explaining consequences and exploring alternatives

A competent resident's refusal of treatment must be honored, documented, and the facility must explain consequences and offer alternatives.

A resident files a grievance alleging that a staff member was disrespectful. Under the 2016 Final Rule, which of the following is required?

Answer: The facility must provide a written decision to the resident that includes the steps taken and the outcome

The 2016 Final Rule requires facilities to provide written grievance decisions including the steps taken to investigate and the outcome.

A facility proposes to transfer a resident to another room within the facility. What does the resident rights regulation require?

Answer: The facility must give advance notice and explain the reason for the transfer

Residents must receive advance notice of room transfers and an explanation of the reason, as room changes affect the resident's home environment.

Which of the following is NOT a permissible reason for an involuntary discharge or transfer under federal nursing home regulations?

Answer: The resident filed a complaint with the State Survey Agency

Filing a complaint with a regulatory agency is protected activity; discharging a resident for this reason is retaliatory and prohibited.

When evaluating a facility's use of physical restraints, a surveyor should look for evidence that:

Answer: The least restrictive alternative was used, with informed consent and ongoing reassessment

Restraint use requires that the least restrictive alternative is attempted, informed consent is obtained, and the need is regularly reassessed.

A resident with a court-appointed legal guardian refuses a procedure that the guardian has consented to. How should the facility proceed?

Answer: Attempt to understand the resident's objection, involve the care team, and seek ethics consultation if needed

Even when a legal guardian holds decision-making authority, the facility should attempt to understand and honor the resident's expressed preferences and involve the care team.

A facility posts a notice on the dining room bulletin board listing which residents have been assessed as a fall risk. This practice:

Answer: Violates residents' right to confidentiality of their health information

Publicly posting residents' health assessment status violates their right to confidentiality and privacy under both HIPAA and CMS resident rights regulations.