{"id":355751,"date":"2016-04-04T11:01:54","date_gmt":"2016-04-04T16:01:54","guid":{"rendered":"https:\/\/content.findlaw-admin.com\/ability-law\/elder\/elder-care-law\/do-s-and-don-ts-nursing-home-contracts.html"},"modified":"2022-12-08T11:04:31","modified_gmt":"2022-12-08T16:04:31","slug":"do-s-and-don-ts-nursing-home-contracts","status":"publish","type":"page","link":"https:\/\/www.findlaw.com\/elder\/elder-care-law\/do-s-and-don-ts-nursing-home-contracts.html","title":{"rendered":"Do&#8217;s and Don&#8217;ts &#8211; Nursing Home Contracts"},"content":{"rendered":"\n<div class=\"wp-container-core-columns-is-layout-9d6595d7 fl-sectionWithSidebar fl-container fl-flex fl-flex-wrap fl-gap30\">\n    \n    <div class=\"fl-page-articles fl-section-main fl-section-main-full-width\">\n        <h1 class=\"fl-no-margin-top\">The &quot;Do&#039;s&quot; and &quot;Don&#039;ts&quot; of Nursing Home Contracts<\/h1>\n<section class=\"fl-gutenberg-byline\">\n    <div class=\"fl-gutenberg-byline-content\">\n                    By <a href=\"https:\/\/www.findlaw.com\/company\/our-team.html\">FindLaw Staff<\/a> | Legally reviewed by <a\n                href=\"https:\/\/www.findlaw.com\/company\/our-team\/melissa-bender-esq\/\">Melissa Bender, Esq.<\/a>\n                | Last updated\n        <time>\n                            December 08, 2022\n                    <\/time>\n    <\/div>\n\n    \n    <details class=\"fl-gutenberg-byline-toggle fl-gutenberg-byline-legally-reviewed\">\n        <summary>\n            <i class=\"fl-gutenberg-byline-icon\" aria-hidden=\"true\"><\/i>\n            Legally Reviewed\n        <\/summary>\n\n        <div class=\"fl-gutenberg-byline-toggle-content\">\n            <p><em>This article has been written and reviewed for legal accuracy, clarity, and style by <a href=\"https:\/\/www.findlaw.com\/company\/our-team.html\">FindLaw\u2019s team of legal writers and attorneys<\/a> and in accordance with <a href=\"https:\/\/www.findlaw.com\/company\/company-history\/editorial-policy.html\">our editorial standards<\/a>.<\/em><\/p>\n\n        <\/div>\n    <\/details>\n\n    <details class=\"fl-gutenberg-byline-toggle fl-gutenberg-byline-fast-checked\">\n        <summary>\n            <i class=\"fl-gutenberg-byline-icon\" aria-hidden=\"true\"><\/i>\n            Fact-Checked\n        <\/summary>\n\n        <div class=\"fl-gutenberg-byline-toggle-content\">\n            <p><em>The last updated date refers to the last time this article was reviewed by FindLaw or one of our <a href=\"https:\/\/www.findlaw.com\/company\/our-team\/contributing-authors.html\">contributing authors<\/a>. We make every effort to keep our articles updated. For information regarding a specific legal issue affecting you, please <a href=\"https:\/\/lawyers.findlaw.com\/?fli=bylinelink\" target=\"_blank\" rel=\"noopener\">contact an attorney in your area<\/a>.<\/em><\/p>\n\n        <\/div>\n    <\/details>\n<\/section>\n    <div class=\"fl-callout-text article-blockquote\">\n        <p>You need to understand the nursing home admission agreement you are signing. It is essential to know the level of caregiving provided, the quality of room and care facilities, and any disclaimers in the contract.<\/p>\n\n    <\/div>\n\n<figure class=\"wp-block-image fl-no-margin\"><img decoding=\"async\" src=\"https://www.findlaw.com/static/c/images\/image\/upload\/ability-law\/wp-prod\/voting-older-adult-images-GettyImages-1343269576.jpg\" alt=\"\" \/><\/figure><p>Understanding the nursing home admission agreement you (or your loved one) are signing is important. Before you sign an agreement, make sure to note the level of caregiving that it will provide. Also, look at the quality of the room and care facilities, the long-term care costs, and any disclaimers or arbitration clauses in the contract.<\/p>\r\n<p>Long-term care planning for you or your loved one is stressful, and considering a nursing home is difficult for any family member. Many long-term care facilities and assisted living options are available, but not all providers are equal. Federal and state laws set standards for clean and skilled nursing facilities, but standards or mistreatment can still happen. Here are some things to consider before signing a nursing home agreement.<\/p>\r\n<h2>Checklist for Nursing Home Contracts<\/h2>\r\n<p>Nursing home residents will deal with staff members, rooms, meals, and facilities in an assisted living facility. The following topics are essential to review in your admission contract.<\/p>\r\n<h3>Basic Daily Rates<\/h3>\r\n<p>First, you should ensure that the agreement includes a clear statement of what services the home&#8217;s basic daily rate includes. The contract should include charges for items not included in the basic daily rate. It is also important to consider whether the services provided by the nursing home&#8217;s basic daily rate address the special needs of you or your family member.<\/p>\r\n<h3>Medicare and Medicaid Planning<\/h3>\r\n<p>Residents have the right to apply for Medicare and Medicaid and appeal an eligibility denial. Ensure the home&#8217;s&nbsp;bed hold policy&nbsp;meets Medicare and Medicaid requirements.<\/p>\r\n<h3>Eviction or Removal From a Nursing Home<\/h3>\r\n<p>Ensure you understand what the contract says about a resident leaving the facility. Being evicted or forced to leave should apply only if:<\/p>\r\n<ul>\r\n<li>It is necessary for the resident&#8217;s welfare<\/li>\r\n<li>The resident&#8217;s health has improved such that nursing home care is no longer required<\/li>\r\n<li>The health or safety of other people is endangered<\/li>\r\n<li>The resident unreasonably fails to pay<\/li>\r\n<li>The facility closes<\/li>\r\n<\/ul>\r\n<h3>Room Changes<\/h3>\r\n<p>The contract should also address how the facility will decide on moving the resident to a different room.<\/p>\r\n<p>You may have to pay extra for a certain size of room or window views. The contract should not allow for substitutions or room moves without your knowledge and consent.<\/p>\r\n<h3>Have an Attorney Check the Admission Contract<\/h3>\r\n<p>Ensure your attorney reviews the contract before you or the resident signs it.<\/p>\r\n<h2>What Not To Do When Signing a Nursing Home Contract<\/h2>\r\n<p>From payment to liability to waivers \u2014 there are many loopholes or shady practices you must look out for when signing a nursing home admissions contract.<\/p>\r\n<h3>Payment and Income Accounts<\/h3>\r\n<p>You should not sign the contract as a guarantor or &quot;responsible party&quot; unless you intend to pay for the resident&#8217;s care. Watch out for language that calls you the &quot;resident representative&quot; or &quot;agent.&quot;<\/p>\r\n<p>The contract should not include a provision requiring the resident to deposit all income directly into an account controlled by the nursing home.<\/p>\r\n<p>Do not agree to a requirement of private-pay status or other up-front money if a resident is eligible for Medicaid.<\/p>\r\n<h3>Liability for Injuries or Property<\/h3>\r\n<p>Don&#8217;t agree to a limitation on the home&#8217;s liability if the resident is injured. Also, you should not agree to a limitation on the home&#8217;s liability for the resident&#8217;s personal property.<\/p>\r\n<p>Agreeing to any of these items will waive your loved one&#8217;s rights.<\/p>\r\n<h3>Visiting Hours<\/h3>\r\n<p>The contract should never include a clause restricting visiting hours.<\/p>\r\n<h3>Medical Procedures and Estate Planning<\/h3>\r\n<p>The contract shouldn&#8217;t&#8217; include a provision requiring the applicant to:<\/p>\r\n<ul>\r\n<li>Consent to medical procedures<\/li>\r\n<li>Have an advanced directive such as a living will or health care directive<\/li>\r\n<li>Have a health care power of attorney<\/li>\r\n<\/ul>\r\n<h2>Questions? Talk With an Attorney<\/h2>\r\n<p>You can try negotiating with a nursing home facility on some of these legal issues, but having an advocate on your side is often helpful.&nbsp;<a href=\"https:\/\/lawyers.findlaw.com\/elder-law\/?fli=dcta\" target=\"_blank\" rel=\"noopener\">Contact an experienced elder law attorney<\/a>&nbsp;if you are unsure about a contract or need legal advice on other elder law concerns.<\/p>\r\n<h3>Find Help for These Areas:<\/h3>\r\n<ul>\r\n<li><a href=\"https:\/\/lawyers.findlaw.com\/elder-law\/?fli=diyns&amp;fli=dcta\" target=\"_blank\" rel=\"noopener\">General Older Adult Law<\/a><\/li>\r\n<li><a href=\"https:\/\/lawyers.findlaw.com\/health-health-care-law\/?fli=diyns&amp;fli=dcta\" target=\"_blank\" rel=\"noopener\">Older Adult Health Care<\/a><\/li>\r\n<li><a href=\"https:\/\/lawyers.findlaw.com\/nursing-home-abuse\/?fli=diyns&amp;fli=dcta\" target=\"_blank\" rel=\"noopener\">Nursing Home Abuse<\/a><\/li>\r\n<\/ul>\r\n<div class=\"was-this-helpful\">\n    <div\n            class=\"was-this-helpful__question-container\"\n            aria-labelledby=\"was-this-helpful__question\"\n            role=\"group\"\n    >\n        <span\n                id=\"was-this-helpful__question\"\n                class=\"was-this-helpful__question fl-text-lg-bold\"\n        >Was this helpful?<\/span>\n        <button\n                class=\"was-this-helpful__button fl-text-sm\"\n                aria-label=\"Yes\"\n                value=\"yes\"\n        >\n            <span class=\"was-this-helpful__button-text fl-text-bold\">Yes<\/span>\n            <i class=\"was-this-helpful__button-icon\">\n                <svg width=\"22\" height=\"22\" viewBox=\"0 0 22 22\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                    <g id=\"thumbs-up\" clip-path=\"url(#clip0_604_3418)\">\n                        <path id=\"Vector\"\n                              d=\"M6 21H3C2.46957 21 1.96086 20.7893 1.58579 20.4142C1.21071 20.0391 1 19.5304 1 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class=\"was-this-helpful__button fl-text-sm\"\n                aria-label=\"No\"\n                value=\"no\"\n        >\n            <span class=\"was-this-helpful__button-text fl-text-bold\">No<\/span>\n            <i class=\"was-this-helpful__button-icon\">\n                <svg width=\"22\" height=\"22\" viewBox=\"0 0 22 22\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                    <g id=\"thumbs-down\" clip-path=\"url(#clip0_604_3423)\">\n                        <path id=\"Vector\"\n                              d=\"M16 0.999995H18.67C19.236 0.989986 19.7859 1.18813 20.2154 1.55681C20.645 1.9255 20.9242 2.43905 21 3V10C20.9242 10.5609 20.645 11.0745 20.2154 11.4432C19.7859 11.8119 19.236 12.01 18.67 12H16M9.00003 14V18C9.00003 18.7956 9.3161 19.5587 9.87871 20.1213C10.4413 20.6839 11.2044 21 12 21L16 12V0.999995H4.72003C4.2377 0.994543 3.76965 1.16359 3.40212 1.47599C3.0346 1.78839 2.79235 2.22309 2.72003 2.7L1.34003 11.7C1.29652 11.9866 1.31586 12.2793 1.39669 12.5577C1.47753 12.8362 1.61793 13.0937 1.80817 13.3125C1.99842 13.5313 2.23395 13.7061 2.49846 13.8248C2.76297 13.9435 3.05012 14.0033 3.34003 14H9.00003Z\"\n                              stroke=\"#666666\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"\/>\n                    <\/g>\n                    <defs>\n                        <clipPath id=\"clip0_604_3423\">\n                            <rect width=\"22\" height=\"22\" fill=\"white\"\/>\n                        <\/clipPath>\n                    <\/defs>\n                <\/svg>\n            <\/i>\n        <\/button>\n    <\/div>\n    <span class=\"was-this-helpful__taken-action fl-text-sm-bold\"><\/span>\n    <div class=\"was-this-helpful__feedback-container\">\n        <div class=\"was-this-helpful__choose-option-message\" role=\"status\">\n            <p class=\"was-this-helpful__choose-option-message-text\"><\/p>\n        <\/div>\n        <form class=\"was-this-helpful__feedback-form\">\n            <div class=\"was-this-helpful__feedback was-this-helpful__feedback--positive\">\n                <fieldset>\n                    <legend class=\"was-this-helpful__feedback-form-title\" tabindex=\"0\">Why was this helpful?<\/legend>\n                    <div class=\"fl-radio-button-field fl-flex was-this-helpful__feedback-form-title\">\n                        <input\n                                id=\"was-this-helpful__radio-button--understandable\"\n                                class=\"fl-radio-button-field-input\"\n                                type=\"radio\"\n                                name=\"positive-feedback\"\n                                value=\"Easy to understand\"\n                        >\n                        <label\n                                class=\"fl-radio-button-field-label fl-text-sm was-this-helpful__radio-label\"\n                                for=\"was-this-helpful__radio-button--understandable\"\n                        >Easy to understand<\/label>\n                    <\/div>\n                    <div class=\"fl-radio-button-field fl-flex was-this-helpful__feedback-form-title\">\n                        <input\n                                id=\"was-this-helpful__radio-button--solved-problem\"\n                                class=\"fl-radio-button-field-input\"\n                                type=\"radio\"\n                                name=\"positive-feedback\"\n                                value=\"Solved my problem\"\n                        >\n                        <label\n                                class=\"fl-radio-button-field-label fl-text-sm was-this-helpful__radio-label\"\n                                for=\"was-this-helpful__radio-button--solved-problem\"\n                        >Solved my problem<\/label>\n                    <\/div>\n                    <div class=\"fl-radio-button-field fl-flex was-this-helpful__feedback-form-title\">\n                        <input\n         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role=\"status\">\n                        <p class=\"was-this-helpful__choose-option-message-text\"><\/p>\n                    <\/div>\n                    <div class=\"fl-radio-button-field fl-flex was-this-helpful__feedback-form-title\">\n                        <input\n                                id=\"was-this-helpful__radio-button--missing-info\"\n                                class=\"fl-radio-button-field-input\"\n                                type=\"radio\"\n                                name=\"negative-feedback\"\n                                value=\"Missing Information\"\n                        >\n                        <label\n                                class=\"fl-radio-button-field-label fl-text-sm was-this-helpful__radio-label\"\n                                for=\"was-this-helpful__radio-button--missing-info\"\n                        >Missing the information I need<\/label>\n                    <\/div>\n                    <div class=\"fl-radio-button-field fl-flex was-this-helpful__feedback-form-title\">\n                        <input\n                                id=\"was-this-helpful__radio-button--complicated\"\n                                class=\"fl-radio-button-field-input\"\n                                type=\"radio\"\n                                name=\"negative-feedback\"\n                                value=\"Too complicated\"\n                        >\n                        <label\n                                class=\"fl-radio-button-field-label fl-text-sm was-this-helpful__radio-label\"\n                                for=\"was-this-helpful__radio-button--complicated\"\n                        >Too complicated \/ too many steps<\/label>\n                    <\/div>\n                    <div class=\"fl-radio-button-field fl-flex was-this-helpful__feedback-form-title\">\n                        <input\n                                id=\"was-this-helpful__radio-button--dated\"\n                                class=\"fl-radio-button-field-input\"\n                                type=\"radio\"\n                                name=\"negative-feedback\"\n                                value=\"Out of date\"\n                        >\n                        <label\n                                class=\"fl-radio-button-field-label fl-text-sm was-this-helpful__radio-label\"\n                                for=\"was-this-helpful__radio-button--dated\"\n                        >Out of date<\/label>\n                    <\/div>\n                    <div class=\"fl-radio-button-field fl-flex was-this-helpful__feedback-form-title\">\n                        <input\n                                id=\"was-this-helpful__radio-button--negative-other\"\n                                class=\"fl-radio-button-field-input\"\n                                type=\"radio\"\n                                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rel=\"noopener\">Last Will &#038; Testament Attorneys<\/a><\/li>\n                                    <li><a href=\"https:\/\/lawyers.findlaw.com\/estate-planning\/\" target=\"_blank\" rel=\"noopener\">Estate Planning Lawyers<\/a><\/li>\n                                    <li><a href=\"https:\/\/lawyers.findlaw.com\/probate-estate-administration\/\" target=\"_blank\" rel=\"noopener\">Probate Attorneys<\/a><\/li>\n                            <\/ul>\n        <\/div>\n    <\/div>\n\n\n    <\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>FindLaw explains the basics of nursing home contracts and what to look for during contract review. Avoid these common contract issues before you sign.<\/p>\n","protected":false},"author":41135,"featured_media":0,"parent":355745,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"app\/Http\/Controllers\/Templates\/ArticleWithBreadcrumbsController.php","meta":{"_acf_changed":false,"_stopmodifiedupdate":true,"_modified_date":"","_autodraft_ids":[],"_cloudinary_featured_overwrite":false,"_sb_is_suggestion_mode":false,"_sb_show_suggestion_boards":false,"_sb_show_comment_boards":false,"_sb_suggestion_history":"","_sb_update_block_changes":"","_is_real_time_mode":false,"_realtime_collaborators":"","footnotes":"","cf_checklist_status":[]},"categories":[2738],"tags":[],"state_laws_tags":[],"flmsa":[],"class_list":["post-355751","page","type-page","status-publish","hentry","category-elder"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.findlaw.com\/law-api\/wp-json\/wp\/v2\/pages\/355751","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.findlaw.com\/law-api\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.findlaw.com\/law-api\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.findlaw.com\/law-api\/wp-json\/wp\/v2\/users\/41135"}],"replies":[{"embeddable":true,"href":"https:\/\/www.findlaw.com\/law-api\/wp-json\/wp\/v2\/comments?post=355751"}],"version-history":[{"count":0,"href":"https:\/\/www.findlaw.com\/law-api\/wp-json\/wp\/v2\/pages\/355751\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/www.findlaw.com\/law-api\/wp-json\/wp\/v2\/pages\/355745"}],"wp:attachment":[{"href":"https:\/\/www.findlaw.com\/law-api\/wp-json\/wp\/v2\/media?parent=355751"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.findlaw.com\/law-api\/wp-json\/wp\/v2\/categories?post=355751"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.findlaw.com\/law-api\/wp-json\/wp\/v2\/tags?post=355751"},{"taxonomy":"state_laws_tags","embeddable":true,"href":"https:\/\/www.findlaw.com\/law-api\/wp-json\/wp\/v2\/state_laws_tags?post=355751"},{"taxonomy":"flmsa","embeddable":true,"href":"https:\/\/www.findlaw.com\/law-api\/wp-json\/wp\/v2\/flmsa?post=355751"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}