Resident Rights, Admission, Transfer and Discharge
About 10 of every 50 questions on a Texas NFA State Exam practice exam come from this topic.
Sources checked
What to know
Residents learn their rights orally and in writing, in a language they understand, and must acknowledge them in writing. They may see their records within 24 hours (not counting weekends and holidays), refuse treatment, and get immediate notice of injuries and significant changes. Residents manage their own money unless they authorize the facility in writing. In Medicaid-certified facilities, balances over $50 earn interest, statements come quarterly, funds go to the estate within 30 days of death, and a surety bond covers the average monthly balance. Relatives, ombudsmen and service providers get access, subject to the resident's consent. Residents may voice grievances without reprisal, get mail unopened, and use authorized electronic monitoring at their own cost with roommate consent. Abuse allegations go to HHSC within two hours (24 hours if there is no abuse or serious injury), with a written report by the fifth working day. Restraints may never be used for discipline or convenience. In Medicaid-certified facilities, discharge is allowed only for listed reasons, usually on 30 days' written notice, with 90 days to appeal. Admission may not hinge on a third-party guarantee or a waiver of rights, and advance directive information is reviewed within 14 days of admission.
Where it comes from
- 26 TAC §§ 554.403, 554.404, 554.405
- 26 TAC §§ 554.408, 554.412, 554.413, 554.415, 554.416
- 26 TAC §§ 554.419, 554.422
- 26 TAC §§ 554.501, 554.502
- 26 TAC §§ 554.601, 554.602
Try a practice question
A licensed facility wants every new resident to deposit personal spending money in the facility's trust account so staff can track it. Is that allowed?
- ANo; the facility may not require residents to deposit personal funds with it
- BYes, for residents whose care is paid by Medicaid, to simplify accounting
- CYes, if the admission agreement discloses the rule
- DYes, if the facility pays interest on every resident's account balance
Show the answer
No; the facility may not require residents to deposit personal funds with it. Residents have the right to manage their own financial affairs, and the facility may not require a resident to deposit personal funds with it.
26 TAC § 554.404(a)
Ready for a full run? The Texas Nursing Facility Administrator State Exam Practice Test is 50 questions in 120 minutes, scored at 75%. For the official exam's details, see Texas Nursing Facility Administrator License Exam Requirements.