(a) The facility, prior to admitting any resident, shall interview the resident and the resident’s sponsor to:

1. (1) Identify the resident’s needs; and
2. (2) Determine whether the facility may meet those needs adequately.

(b) Upon admission, the facility shall execute with, and provide a copy to, the resident and the resident’s sponsor an admission agreement specifying the following information:

1. (1) The services to be rendered to the resident;
2. (2) The method of calculating the charges for the services (whether on a per diem rate, a per service charge, or other basis);
3. (3) The schedule of rates necessary to calculate the charges for services;
4. (4) A statement that the method of calculating charges and the schedule of rates will be changed only after thirty (30) days' written notice of changes is given to the resident and the resident’s sponsor;
5. (5) A statement that no charges will be imposed for services or major items of equipment other than those specified in the admission agreement or subsequently agreed to by the resident or the resident’s sponsor, unless the supplemental services and supplies are necessitated by a change in the resident’s condition;
6. (6) A provision that advance payments will be refunded on a pro rata basis in the event of transfer, death, or discharge and an explanation of the calculation of the proration;

7. (7) A statement that at least ten (10) days’ written notice prior to discharge or transfer will be given to the resident and the resident’s sponsor, unless the discharge or transfer is:

   1. (A) At the request of the resident or resident’s sponsor;
   2. (B) Ordered by a physician; or
   3. (C) Caused by a change in the resident’s condition which renders the resident unsuited for retention and which prevents the giving of prior notice;

8. (8)

   1. (A) A provision that upon discharge or transfer, the resident or the resident’s sponsor shall receive within thirty (30) days a final written statement of the resident’s account.
   2. (B) All monies, property, or things of value held in the custody of the facility will be returned to the resident or the resident’s sponsor on or before this date;
9. (9) A listing of all moneys, property, or things of value given or to be given to the facility on admission;
10. (10) A provision that the resident and the resident’s sponsor shall not be required to provide to the licensee, the facility, or the facility’s personnel any remuneration for any service or supplies provided or arranged in accordance with statute, rule, or agreement; and
11. (11) A provision that the facility will oversee resident’s personal funds.