Risk – Failing to clearly state what services are included as part of the admission agreement and what care and services are beyond the capability of the facility. This information should be verbally reviewed and well as provided in writing. Provide an opportunity for the resident and family/legal representative (as appropriate) to ask questions.
The admission agreement language should include that changes in resident condition that require care beyond the capability of the facility, will require transfer to another location/facility that can meet the needs of the resident.
Memory loss/dementia/Alzheimer’s disease that causes a change in behavior that poses a risk of serious harm or injury for the resident, family members, other residents or staff or is a safety concern for the resident will require transfer to another location/facility that can meet the needs of the resident. Abusive or threatening conduct will result in termination of the admission agreement and notification of appropriate external agencies, including the police as appropriate. Ensure legal counsel review of the admission agreement.
Risk Management Strategies:
- Aging Process – Include a discussion regarding the aging process and physical changes that occur with aging as part of the admission discussion and Service Plan revision/update meetings.
- Changes in Condition – Proactively address changes in condition including adding interventions that support resident safety, such as physical therapy and occupational therapy with changes in ambulation safety.
- Communication Early and Clearly – Communicate early and clearly regarding resident changes that may require a different level of care.
- Complete Information – Ensure the resident admission agreement/contract contains complete information on the scope of services offered, room and service charges, admission and discharge criteria and the transfer/discharge process.