481—57.13 (135C) Admission, transfer and discharge.
	   57.13(1) General admission policies.
	      a.    	 Residents shall be admitted to a residential care facility only on a written order signed by a primary care provider, specifying the level of care, and certifying that the individual being admitted requires no more than personal care and supervision and does not require routine nursing care. (II, III)
	      b.    	 No residential care facility shall admit or retain a resident who is in need of greater services than the facility can provide. (I, II, III)
	      c.    	 No residential care facility shall admit more residents than the number of beds for which the facility is licensed. (II, III)
	      d.    	 A residential care facility is not required to admit an individual through court order, referral or other means without the express prior approval of the administrator. (III)
	      e.    	 The admission of a resident shall not grant the residential care facility the authority or responsibility to manage the personal affairs of the resident except as may be necessary for the safety of the resident and the safe and orderly management of the residential care facility as required by these rules. (III)
	      f.    	 Individuals under the age of 18 shall not be admitted to a residential care facility without prior written approval by the department. A distinct part of a residential care facility, segregated from the adult section, may be established based on a résumé of care that is submitted by the licensee or applicant and is commensurate with the needs of the residents of the residential care facility and that has received the department’s review and approval. (III)
	      g.    	 No health care facility and no owner, administrator, employee or representative thereof shall act as guardian, trustee, or conservator for any resident’s property unless such resident is related within the third degree of consanguinity to the person acting as guardian. (III)
	   57.13(2) Discharge or transfer.
	      a.    	 Notification shall be made to the legal representative, primary care provider, and sponsoring agency, if any, prior to the transfer or discharge of any resident. (III)
	      b.    	 The licensee shall not refuse to discharge or transfer a resident when the primary care provider, family, resident, or legal representative requests such transfer or discharge. (II, III)
	      c.    	 Advance notification will be made to the receiving facility prior to the transfer of any resident. (III)
	      d.    	 When a resident is transferred or discharged, the appropriate record will accompany the resident to ensure continuity of care. “Appropriate record” includes the resident’s face sheet, service plan, most recent orders of the primary care provider and any notifications of upcoming scheduled appointments. (II, III)
	      e.    	 When a resident is transferred or discharged, the resident’s unused prescriptions shall be sent with the resident or with a legal representative only upon the written order of a primary care provider. (II, III)
[ARC 1753C, IAB 12/10/14, effective 1/14/15]