This section applies to all resident discharges except for persons in respite care.
(2) Emergency or temporary transfers.
If a condition or action of a resident requires the emergency transfer of the resident to a hospital, nursing home or other facility for treatment not available from the CBRF, the CBRF may not involuntarily discharge the resident unless the requirements under sub. (4)
(3) Discharge or transfer initiated by resident. DHS 83.31(3)(a)(a)
Any competent resident may initiate transfer or discharge at any time in accordance with the terms of the admission agreement if the resident is not in the custody of a government correctional agency, committed under s. 51.20
, Stats., or under a court-ordered protective placement under s. 55.12
If a resident found incompetent under ch. 54, Stats.
, protests the resident's admission or continued stay, the licensee or designee shall immediately notify the legal representative
and the county protective services agency to obtain a determination about whether to discharge the resident under s. 55.055 (3)
Before a CBRF involuntarily discharges a resident, the licensee shall give the resident or legal representative a 30 day written advance notice. The notice shall explain to the resident or legal representative the need for and possible alternatives to the discharge. Termination of placement initiated by a government correctional agency does not constitute a discharge under this section.
The CBRF shall provide assistance in relocating the resident and shall ensure that a living arrangement suitable to meet the needs of the resident is available before discharging the resident.
Reasons for involuntary discharge.
The CBRF may not involuntarily discharge a resident except for any of the following reasons:
Care is required that is beyond the CBRF's license classification.
Care is required that is inconsistent with the CBRF's program statement and beyond that which the CBRF is required to provide under the terms of the admission agreement and this chapter.
There is imminent risk of serious harm to the health or safety of the resident, other residents or employees, as documented in the resident's record.
Every notice of involuntary discharge shall be in writing to the resident or resident's legal representative and shall include all of the following:
A statement setting forth the reason and justification for discharge listed under par. (b)
A statement that the resident or the resident's legal representative may ask the department to review the involuntary discharge by sending a written request within 10 days of receipt of the discharge statement to the department's regional office with a copy to the CBRF. The notice shall state that the request must provide an explanation why the discharge should not take place.
The name, address and telephone number of the department's regional office director.
The name, address and telephone number of the regional office of the board on aging and long term care's ombudsman program. For residents with developmental disability or mental illness, the notice shall include the name, address and telephone number of the protection and advocacy agency designated under s. 51.62 (2) (a)
A resident may request department review of an involuntary discharge within 10 days of receipt of such notice. If a timely request is sent to the department, the CBRF may not proceed with an involuntary discharge until the department has completed its review and notified the resident or the resident's legal representative and the CBRF of the department's decision.
Within 7 days after receiving the copy of the letter requesting the review, the CBRF may provide to the department's regional office, additional information justifying the discharge.
The department shall complete its review within 10 days after the CBRF submits additional information under subd. 2.
, if any, and will notify in writing the resident or the resident's legal representative and the CBRF of the department's decision.
DHS 83.31 Note
Note: See Appendix A for the addresses and phone numbers of the Department's Division of Quality Assurance, Bureau of Assisted Living regional offices.
Coercion and retaliation prohibited.
Any form of coercion to discourage or prevent a resident or legal representative from requesting a department review of any notice of involuntary discharge is prohibited. Any form of retaliation against a resident or legal representative for requesting a department review, or against an employee who assists in submitting a request for department review or otherwise provides assistance with a request for review, is prohibited.
(5) Removal or disposal of resident's belongings.
If a resident or the resident's representative does not remove the resident's belongings within 30 days after discharge, the CBRF may dispose of the belongings. This subsection does not apply to a resident who absconds from the CBRF and who is under the custody of a government correctional agency or under the legal jurisdiction of a criminal court and for whom there is an apprehension order.
The CBRF shall return all refunds due a resident within 30 days of the date of discharge as required under s. DHS 83.29 (3)
The CBRF shall return all resident funds held by the CBRF to the resident or the resident's legal representative within 14 days after discharge as required under s. DHS 83.34 (4)
(7) Information provided at the time of transfer or discharge.
At the time of a resident's transfer or discharge, the CBRF shall inform the resident or the resident's legal representative and the resident's new place of residence that all of the following information is available in writing upon request:
The name and address of the CBRF, the dates of admission, and discharge or transfer, and the name and address of a person to contact for additional information.
Names and addresses of the resident's physician, dentist and other medical care providers.
Names and addresses of the resident's relatives or legal representative to contact in case of emergency.
Names and addresses of the resident's significant social or community contacts.
Assessment and individual service plan.
The resident's assessment and individual service plan, or a summary of each.
The resident's current medications and dietary, nursing, physical and mental health needs, if not included in the assessment or individual service plan.
Reason for discharge or transfer.
The reason for the resident's discharge or transfer.
DHS 83.31 History
History: CR 07-095
: cr. Register January 2009 No. 637
, eff. 4-1-09.