1. (a) The licensee shall only admit an individual or retain a client whose needs are compatible with the facility and the services and programs offered, and whose needs can be met by the RTRF.
2. (b) A licensee shall not deny admission to any person because that person does not have a guardian or an advanced directive, such as a living will or durable power of attorney for health care, established in accordance with RSA 137-H or RSA 137-J.

3. (c) The client shall be transferred or discharged, as defined in RSA 151:19, I-a and VII, in accordance with RSA 151:21, V, for reasons including, but not limited to, the following:

   1. (1) The client’s medical or other needs exceed the services offered by the licensee or are not otherwise met by third party providers that the licensee has contracted with;
   2. (2) The client cannot be safely evacuated in accordance with Saf-C 6000;
   3. (3) The client or the client’s guardian, if any, determines that the client shall leave the facility;
   4. (4) The client is a danger to himself/herself or others;
   5. (5) The client completed the program or was transferred based on changes in the client’s functioning; or

   6. (6) The client was terminated from the program based on one of the following:

      1. a. The client was administratively discharge;
      2. b. The client was in non-compliance with the program;
      3. c. The client left the program before completion against advise of treatment staff; or
      4. d. The client is inaccessible.
4. (d) The licensee shall develop a discharge plan with the input of the client and the guardian or agent, if any.

5. (e) The following documents shall accompany the client upon transfer:

   1. (1) The most recent client assessment tool, care plan, and quarterly progress notes;
   2. (2) The most recent nursing assessment, if applicable;
   3. (3) The most recent multi-disciplinary care plan, if applicable;
   4. (4) Current medication records; and
   5. (5) A licensed practitioner’s order for transfer, if applicable.
6. (f) If the transfer or discharge referenced in (c) above is required by the reasons listed in RSA 151:26, II(b), a written notice shall be given to the client as soon as practicable prior to transfer or discharge.
7. (g) Notwithstanding (a) and (c) above, a client receiving hospice care from a licensed home health hospice caregiver, may remain in the RTRF upon written agreement with the client or his/her legal guardian and the RTRF.

Source. #9873-A, eff 2-24-11; ss by #12727, INTERIM, eff 2-20-19, EXPIRED: 8-19-19 New. #12962, eff 12-31-19