Department for Community Based Services

Standards of Practice Online Manual

24.2 Alternate Care Facility Closure

Cabinet for Health and Family Services

Department for Community Based Services
Division of Protection and Permanency
Standards of Practice Online Manual
Chapter 24-APS Placement and Movement of Adults
24.2 Alternate Care Facility Closure

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The SSW assists in the closure of a facility when the Center for Medicare and Medicaid Studies (CMS) or the Office of the Inspector General determines that the facility will be closed, a court order is issued to close a facility or there is an emergency voluntary closure.


The SSW:

  1. Completes the following steps during the closure process:
    1. Assesses the needs of the residents;
    2. Notifies family member(s), guardian or payee of the closure and discusses placement options;
    3. Assists in locating placement for each resident;
    4. Copies and sends to the new facility the following items from the medical record:
      1. Face sheet;
      2. Advance directives;
      3. Pre-admission screening annual resident review (PASARR), if appropriate;
      4. TB testing;
      5. Physician's orders;
      6. Hospital discharge summary;
      7. History and physical;
      8. Other information requested by the receiving facility;
    5. Contacts the adults’ payment source to advise of the new address;
    6. Arranges transportation of the adult;
    7. Arranges for packing and transfer of personal belongings;
    8. Arranges for packaging and transfer of medications; and
    9. Completes a master register of all the adults who were placed as a result of the closure;
  2. Coordinates the closure process with other agencies (i.e. the long term care ombudsman, Department for Medicaid Services, Division of Family Support, and the Office of the Inspector General).


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