Wyo. Code R. 048-0058-4
Effective Date: 10/03/2022 to Current
Rule Type: Current Rules & Regulations
Reference Number: 048.0058.4.10032022
ADMISSION AND DISCHARGE
This Chapter is promulgated by the Wyoming Department of Health pursuant to Wyoming Statute (W.S.) § 25-9-101 through 25-9-106 and W.S. § 25-14-101 through 25-14-105.
The purpose of this Chapter is to establish the admission and discharge practices for the Veterans' Home of Wyoming (VHW) or the Wyoming Veterans' Skilled Nursing Facility (WVSNF).
(a) To be eligible for admission to the VHW or WVSNF an applicant shall be: (i) A veteran as defined by United States Code, Title 38, section 101; or (ii) Spouse or surviving spouse of a Veteran as defined by United States Code, Title 38, section 3.50; or (iii) A parent, all of whose children died while serving in the Armed Forces of the United States; or (iv) The individual meets one or more of the admission categories outlined in Wyoming Statute 25-14-10; and (v) The individual is determined eligible through clinical review on a case-by-case basis and federal, state, and facility approved standardized assessments. (b) To be eligible for the WVSNF the individual meets state and federal criteria for a skilled nursing facility. (c) Eligible applicants, as determined by the Facility Administrator shall be scheduled for admission to the VHW and WVSNF or placed on a waiting list if no beds are available. (d) Priority for admission to the VHW or the WVSNF is as follows: (i) Former residents of the VHW who are eligible for readmission; (ii) Medal of Honor recipients;
(iii) Wyoming resident veterans; (iv) Non Wyoming resident veterans; (v) Other applicants.
Section 4: Discharge.
(a) It is the policy of the VHW and WVSNF to provide a comfortable living environment for our residents. The facility will initiate discharge planning for residents who may be discharge under one of the following conditions:
(i) The resident desires to leave the facility and transfer somewhere else; (ii) The resident imposes an imminent danger to self and/or others; (iii) Resident is asked to leave for violation of facility's rules, regulations, or policies; or (iv) There is a change in the resident's level of care.
(b) Residents shall receive a thirty (30) day written notice prior to any facility initiated transfer or discharge, unless the resident imposes an imminent danger to self and/or others or the resident's level of care exceeds that which can be provided by an assisted living/domiciliary licensure.
(c) Residents may be asked to leave for the following reasons: (i) The facility has had its license revoked, not renewed, or voluntarily surrendered; (ii) The facility cannot meet the resident's needs; (iii) The resident or responsible person has a documented established pattern, in the facility, of not abiding by agreements necessary for our facility; (iv) Non-payment of charges; (v) The resident engages in behavior which imposes an imminent danger to self and/or others; or (vi) For any other reason the facility deems necessary.
(d) Residents shall have the right to object to the notice to leave, except where undue delay might jeopardize the health, safety, or well-being of the resident or others.
(i) Residents who object to the notice to leave the facility shall be given the opportunity of an informal conference.
(A) This informal conference must be requested within ten (10) days of the resident's notice to leave the facility.
(B) The purpose of the conference is to determine if a satisfactory resolution can be reached.
(C) Participants in the conference may include a facility representative, the resident, and at the resident's request, a family member, and/or legal representative of the resident, and the Long Term Care Ombudsman along with the facility administrator and social worker.
(D) The informal conference is not considered to be an administrative hearing.
(e) Residents transferred to another health care facility shall be given written transfer/discharge notice which include:
(f) The facility shall provide sufficient preparation and orientation to residents to ensure an orderly transfer/discharge from the facility.
(g) The primary care provider will write a note of discharge which will be kept in the resident's medical record concerning the discharge.
If a resident is denied admission or is involuntarily discharged they may request an administrative hearing. The hearing procedures shall be outlined in the VHW Manual.