CMS Clarifies Facility-Initiated Transfer or Discharge Requirements for Long Term Care Facilities

Published: 10/20/2022

  • Centers for Medicare and Medicaid Services
Relevant To:
  • Long Term Care

According to updated interpretive guidance from the Centers of Medicare and Medicaid Services (CMS), effective October 24, 2022, a facility initiated transfer or discharge is one in which the resident objects to, or did not originate through a resident’s verbal or written request, and/or is not in alignment with the resident’s stated goals for care and preferences.

According to regulations at Section §483.15(c)(1)(i), “The [LTC] facility must permit each resident to remain in the facility, an

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