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Oklahoma Administrative Code (Last Updated: March 11, 2021) |
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TITLE 310. Oklahoma State Department of Health |
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Chapter 663. Continuum of Care and Assisted Living |
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Subchapter 3. Services and Care |
SECTION 310:663-3-5. Involuntary termination of residency
Latest version.
- (a) Termination of residency when inappropriately placed. If an assisted living center finds pursuant to 310:663-3-4 (relating to appropriate placement) that a resident is inappropriately placed, the assisted living center shall inform the resident and/or the resident's representative if any. If voluntary termination of residency is not arranged, the assisted living center shall provide written notice to the resident and to the resident's representative, giving the resident thirty (30) days notice of the assisted living center's intent to terminate the residency agreement and move the resident to an appropriate care provider. The thirty (30) day requirement shall not apply:(1) when emergency termination of the residency agreement is mandated by the resident's immediate health needs; or(2) when termination of the residency agreement is necessary for the physical safety of the resident or other residents.(b) Written notice of involuntary termination of residency for reasons of inappropriate placement. The written notice of involuntary termination of residency for reasons of inappropriate placement shall include:(1) A full explanation of the reasons for the termination of residency;(2) The date of the notice;(3) The date notice was given to the resident and the resident's representative; and,(4) The date by which the resident must leave the assisted living center.(c) Involuntary termination of residency for reasons other than inappropriate placement. Procedures for involuntary termination of residency for reasons other than inappropriate placement, by an assisted living center, are as follows:(1) Written notice shall be provided to the resident, the resident's representative, the person responsible for payment of charges for the resident's care, if different from any of the foregoing, and the Department, at least thirty (30) days in advance of the termination of residency date.(2) The written notice shall include:(A) A full explanation of the reasons for the termination of residency;(B) The date of the notice;(C) The date notice was given to the resident and the resident's representative;(D) The date by which the resident must leave the assisted living center;(E) Notice that the resident, the resident's representative or person responsible for payment of the resident's care may request a hearing with the Department;(F) Notice that the request for hearing with the Department must be filed within ten (10) Department business days of receipt of the facility notice; and(G) Notice that a written or verbal request for a hearing with the Department should be directed to the Hearing Clerk, Oklahoma State Department of Health, 1000 NE Tenth Street, Oklahoma City, OK 73117, telephone (405)271-1269.(3) An assisted living center shall not involuntarily terminate a residency agreement for reasons other than inappropriate placement without following the procedures in this section.(4) If a written or verbal request for a hearing is timely filed by an eligible aggrieved party, the Department shall convene a hearing within ten (10) Department business days of receipt of the request. The request may be in the form of a written or verbal request for hearing from the resident or the resident's representative. In the event that the resident is unable to write, a verbal request made to the hearing clerk shall be sufficient. The Department shall reduce the verbal request to writing and send a copy to the resident. The request shall state the reason for the termination of residency and attach a copy of the letter from the assisted living center.(5) While waiting for the hearing, the assisted living center shall not terminate the residency agreement unless the termination is an emergency situation. If the resident relocates from the assisted living center but wants to be readmitted, the Department may proceed with the hearing and the assisted living center shall be required to readmit the resident if the discharge is found not to meet the requirements of OAC 310:663.(6) The Department shall provide the Administrative Law Judge and the space for the hearing. The parties, including the resident and the assisted living center, may be represented by counsel or may represent themselves. Assisted living centers operating as a corporation or limited liability company shall be represented by counsel.(7) The hearing shall be conducted at the Oklahoma State Department of Health building unless there is a request for the hearing to be held at the assisted living center or at another place. If the hearing is conducted at another location the parties are responsible for providing the hearing room. The Department shall maintain a record on the case in accordance with the Administrative Procedures Act.(8) The hearing shall be conducted in accordance with the Administrative Procedures Act. The Administrative Law Judge's order shall include findings of fact, conclusions of law and an order as to whether or not the termination of the residency was according to law.(9) If the Administrative Law Judge finds that the termination of residency was not according to law, the Department shall review, investigate and issue deficiencies as appropriate.(10) If the termination of residency is according to law, the order shall give the assisted living center the right to terminate the residency agreement.(11) The scope of the hearing may include:(A) Inadequate notice;(B) Discharge based on reason not stated in the law;(C) Sufficiency of the evidence to support the termination of residency; or(D) The finding of emergency.(12) The Administrative Law Judge shall render a written decision within ten (10) Department business days of the close of the record.(13) If the Administrative Law Judge sustains the decision of the assisted living center, the assisted living center may proceed with the termination of residency. If the Administrative Law Judge finds in favor of the resident, the assisted living center shall withdraw its notice of intent to terminate the residency agreement. The decision of the Administrative Law Judge shall be final and binding on all parties unless appealed in accordance with the provisions of the Administrative Procedures Act.