RCFE Admission, Transfer, and Discharge Procedures 1 — Questions and Answers
Question 1: Before admitting a resident, what document must an RCFE complete that outlines the resident's care needs, preferences, and personal goals?
- Facility Service Agreement
- Preadmission Appraisal (Correct answer)
- Resident Trust Account Form
- POLST Form
Correct answer: Preadmission Appraisal
A Preadmission Appraisal must be completed before or at the time of admission to assess the resident's needs and determine if the RCFE can meet them.
Question 2: Which of the following conditions would make a prospective resident ineligible for admission to a standard RCFE?
- Mild cognitive impairment
- Requires a ventilator for breathing (Correct answer)
- Uses a wheelchair for mobility
- Has a history of depression
Correct answer: Requires a ventilator for breathing
Residents who require ongoing skilled nursing services such as ventilator support exceed the level of care an RCFE is licensed to provide.
Question 3: What is the required timeframe for completing a resident's written Needs and Services Plan after admission to an RCFE?
- Immediately upon admission
- Within 7 days of admission
- Within 14 days of admission
- Within 30 days of admission (Correct answer)
Correct answer: Within 30 days of admission
California regulations require that an RCFE complete a written Needs and Services Plan for each resident within 30 days of admission.
Question 4: When a resident is involuntarily transferred or discharged from an RCFE, what is the minimum advance written notice required?
- 24 hours
- 7 days
- 30 days (Correct answer)
- 60 days
Correct answer: 30 days
California law requires at least 30 days written notice before involuntary transfer or discharge of an RCFE resident, except in emergencies.
Question 5: Which of the following is a permissible reason for an RCFE to involuntarily discharge a resident?
- The resident has complained about staff to the licensing agency
- The resident's needs exceed what the RCFE is licensed to provide (Correct answer)
- The resident has designated a difficult family member as their representative
- The resident has been absent from the facility for more than 3 days
Correct answer: The resident's needs exceed what the RCFE is licensed to provide
An RCFE may discharge a resident if their care needs have increased beyond what the facility is licensed to safely provide.
Question 6: What must an RCFE provide to a resident or their representative when the facility initiates an involuntary discharge?
- A list of all other licensed facilities in the area
- Written notice and information about the appeal process (Correct answer)
- A refund of the entire month's fees
- A doctor's written order recommending discharge
Correct answer: Written notice and information about the appeal process
The RCFE must provide written discharge notice that includes information about the resident's right to appeal the decision.
RCFE Admission, Transfer, and Discharge Procedures 1
Before admitting a resident, what document must an RCFE complete that outlines the resident's care needs, preferences, and personal goals?