Sample Nursing Home Admission Agreement

When it comes to admitting a loved one into a nursing home, there are many important decisions that need to be made. One of the most important decisions is choosing the right nursing home for your loved one`s needs. But once you`ve found the right nursing home, you will need to sign a nursing home admission agreement.

A nursing home admission agreement is a legal document that outlines the terms and conditions of your loved one`s stay in the nursing home. It includes information about the costs, services, and responsibilities of both you and the nursing home.

In order to help you prepare for your loved one`s admission, we have provided a sample nursing home admission agreement that you can review and use as a guide.

Sample Nursing Home Admission Agreement

This agreement is made between [Name of Nursing Home] and [Name of Resident`s Legal Representative].

1. Admission Criteria: The resident must meet the admission criteria established by the nursing home, including the ability to pay for the services provided.

2. Services: The nursing home will provide the resident with room and board, nursing care, personal care, and other services as outlined in the resident`s care plan.

3. Payment: The resident or their legal representative will be responsible for paying all fees associated with the nursing home stay, including room and board, nursing care, personal care, and other services as outlined in the resident`s care plan.

4. Payment Terms: Payment terms are outlined in a separate document and must be agreed upon by the resident or their legal representative prior to admission.

5. Termination: The nursing home may terminate this agreement for non-payment or if the resident`s behavior or medical condition poses a threat to other residents or staff.

6. Personal Property: The nursing home is not responsible for the loss or damage of the resident`s personal property.

7. Dispute Resolution: Any disputes arising from this agreement will be resolved through mediation or arbitration.

8. Consent to Treatment: The resident or their legal representative consents to medical treatment as deemed necessary by the nursing home.

9. Release of Information: The nursing home may release information about the resident`s medical condition to authorized individuals as outlined in the admission agreement.

10. Governing Law: This agreement is governed by the laws of the state in which the nursing home is located.

By signing this agreement, the resident or their legal representative acknowledges that they have read and understood the terms and conditions of the nursing home admission agreement.

Conclusion

A nursing home admission agreement is an important legal document that lays out the terms and conditions of your loved one`s stay in a nursing home. It is important to carefully review and understand this agreement before signing it. We hope that this sample nursing home admission agreement has been helpful in preparing you for the admission process.

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