The legally required written contract between your RCFE and each resident, covering rates, services, discharge rights, and financial terms. Written to current CCR §87507 standards.
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Fill in your facility-specific details in the editable Word file and include it in your CDSS application or operations.
Under CCR §87507, the agreement must include: facility name and license number, admission date, the agreed rate and all fees, which services are included versus charged separately, resident rights, the discharge process and required notice, and refund policy. An agreement that omits required elements is a CDSS deficiency.
The agreement must be signed at or before admission, not after the resident has already moved in. CDSS requires that the resident (or their legal representative) receive a copy of the signed agreement.
CCR §87507 requires that the agreement specify the refund policy for pre-paid fees upon discharge or death. For SSI/SSP residents, specific rules govern the maximum amounts that can be held and the refund timeline.
No. CDSS prohibits charging residents for services not disclosed in the admission agreement or a signed amendment. Charging unlisted fees is a citable deficiency and can expose the facility to legal liability.
Whenever rates change or services are added or removed, you must provide residents with a written amendment and obtain their signature. The admission agreement itself should be reviewed annually and whenever regulations change.