(a) That the home shall provide room, board, protection, supervision, assistance,
and supervised personal care consistent with the resident's service plan.
(b) The services to be provided and the fees for the services.
(c) The notice to be provided by the home to the resident, the resident's authorized
representative, or both, upon any change in fees.
(d) The transportation services that are provided, if any, and the fees for those
(e) The home's admission and discharge policy.
(f) The home's refund policy.
(g) The resident's rights and responsibilities, which shall include those rights and
responsibilities specified in section 20201(2) and (3), MCL 333.20201(2) and (3) of the
public health code and section 20202, MCL 333.20202, of the code.
(4) If there is a change in a term or condition in the written resident admission
contract, then the home or home's designee shall review the change with the resident and
the resident's authorized representative, if any.
(5) A home shall update each resident's service plan at least annually or if there is a
significant change in the resident's care needs. Changes shall be communicated to the
resident and his or her authorized representative, if any.
(6) A home shall require an individual who, at the time of admission, is under the
care of a licensed health care professional for ongoing treatments or prescription
medications that require the home's intervention or oversight, to provide a written
statement from that licensed health care professional completed within the 90-day period
before the individual's admission to the home. The statement shall list those treatments
or medications for the purpose of developing and implementing the resident's service
plan. If this statement is not available at the time of an emergency admission, then the
home shall require that the statement be obtained not later than 30 days after admission.
(7) An individual admitted to residence in the home shall have evidence of initial
tuberculosis screening on record in the home that was performed within 12 months before
admission. Initial screening may consist of an intradermal skin test, a blood test, a chest
x-ray, or other methods recommended by the public health authority. The screening type
and frequency of routine tuberculosis (TB) testing shall be determined by a risk
assessment as described in the 2005 MMWR “Guidelines for Preventing the
Transmission of Mycobacterium tuberculosis in Health-Care Settings, 2005”
guidelines as published by the centers for disease control and prevention. A home, and
each location or venue of care, if a home provides care at multiple locations, shall
complete a risk assessment annually. Homes that are low risk do not have to conduct
annual TB testing for residents.
(8) A home shall not retain a resident if the resident has harmed himself or herself
or others, or has demonstrated behaviors that pose a risk of serious harm to himself or
herself or others, unless the home has the capacity to manage the resident's behavior.
(9) A home shall not admit a resident who requires continuous nursing care
services of the kind normally provided in a nursing home as specified in section 21711(3)
of the code, MCL 333.21711(3), and section 21715(2), MCL 333.21715(2), of the code.
(10) A home shall not retain a resident who requires continuous nursing care
services of any kind normally provided in a nursing home as specified in section