These policies shall include, at a minimum, the following:

1. (1) Patients shall be admitted to the facility only on the recommendation of a physician licensed to practice medicine in the State of Arkansas;

2. (2)

   1. (A) All persons admitted to a nursing home shall have a history and physical examination at the time of admission or within seventy-two (72) hours following admission unless such examination was performed within fifteen (15) days prior to admission.
   2. (B) A copy of the hospital history, physical, and discharge summary (after completion) will satisfy the requirement if the history and physical was completed within thirty (30) days.

   3. (C) The examination will be:

      1. (i) For medical evaluation purposes; and
      2. (ii) To determine if the patient is free from communicable diseases;

3. (3)

   1. (A) Recording shall be made of initial examination and all subsequent examinations, including:

      1. (i) Findings;
      2. (ii) Recommendations; and
      3. (iii) Progress notes.
   2. (B) Hospital discharge summaries are to be obtained after each hospitalization;

4. (4)

   1. (A) Patients who are not receiving public assistance from the Division of Provider Services and Quality Assurance shall be classified on admission and subsequently reclassified by the attending physician as skilled care, intermediate care, or minimum care patients, and a report shall be kept in the home and available to the division.
   2. (B) The classification shall be based upon the division criterion;
5. (5) Only those persons are accepted whose needs can be met by the facility directly or in cooperation with the community resources or other providers of care with which it is affiliated or has contracts;
6. (6) As changes occur in their physical or mental condition necessitating service or care which cannot be adequately provided by the facility, residents shall be transferred promptly to facilities which can provide appropriate care; and

7. (7)

   1. (A) Except in the case of an emergency or voluntarily discharge, the resident, responsible party, attending physician, and the responsible agency, if any, are consulted in advance of the transfer or discharge of any resident.
   2. (B) The resident or responsible party will be provided written notification of his or her transfer ten (10) days prior to the transfer.