(a) Before residents are transferred due to any change in the status of the license or operation of a facility, including a facility closure or voluntary or involuntary termination of a facilityâs Medi-Cal or Medicare certification, the facility shall take reasonable steps to transfer affected residents safely and minimize possible transfer trauma by, at a minimum, doing all of the following: (1) Be responsible for ensuring that the residentâs attending physician or the facility medical director, if the resident does not have an attending physician, completes the medical assessment of the residentâs condition and susceptibility to adverse health consequences, including psychosocial effects, prior to written notice of transfer being given to the resident. The assessment shall not be considered complete unless it provides, in accordance with these assessments, recommendations for counseling, followup visits, and other recommended services, by designated health professionals, and for preventing or ameliorating potential adverse health consequences in the event of transfer. (2) Be responsible for ensuring that a licensed marriage and family therapist, a licensed clinical social worker, a licensed psychologist, a licensed psychiatrist, or a licensed professional clinical counselor and the facility nursing staff complete an assessment of the social and physical functioning of the resident based on the relevant portions of the minimum data set, as described in Section 14110.15 of the Welfare and Institutions Code, before written notice of transfer is given to the resident. The assessment shall not be considered complete unless it provides recommendations for preventing or ameliorating potential adverse health consequences in the event of transfer. The assessment may be amended because of a change in the residentâs health care needs. The assessment shall also include a recommendation for the type of facility that would best meet the residentâs needs. (3) (A) Be responsible for evaluating the relocation needs of the resident including proximity to the residentâs representative and determine the most appropriate and available type of future care and services for the resident before written notice of transfer is given to the resident or the residentâs representative. The health facility shall discuss the evaluation and medical assessment with the resident or the residentâs representative and make the evaluation and assessment part of the medical records for transfer. (B) If the resident or residentâs representative chooses to make a transfer prior to completion of assessments, the facility shall inform the resident or the residentâs representative, in writing, of the importance of obtaining the assessments and followup consultation. (4) At least 60 days in advance of the transfer, inform the resident or the residentâs representative of alternative facilities that are available and adequate to meet resident and family needs. (5) Arrange for appropriate future medical care and services, unless the resident or residentâs representative has otherwise made these arrangements. This requirement does not obligate a facility to pay for future care and services. (b) The facility shall provide an appropriate team of professional staff to perform the services required in subdivision (a). (c) The facility shall also give written notice to affected residents or their representatives, advising them of the requirements in subdivision (a) at least 60 days in advance of transfer. If a facility is required to give written notice pursuant to Section 1336, then the notice shall advise the affected resident or residentâs representative of the requirements in subdivision (a). If the transfer is made pursuant to subdivision (g), the notice shall include notification to the resident or residentâs representative that the transfer plan is available to the resident or residentâs representative free of charge upon request. (d) In the ev
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