Standards for Service and Rental Agreement 660-05-30-45

(Revised 5/1/19 ML 3549)

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Standards for Service and Rental Agreement are as follows:

1. The provider shall furnish each prospective resident, or the resident's legal representative and the County Social Service Agency with a signed copy of the provider’s Service and Rental Agreement prior to the resident entering the facility. A copy signed by the resident or resident’s legal representative and the provider must be kept in the resident’s record. A copy is to be sent to the Aging Services Division. The following is to be addressed in the Service and Rental Agreement.

1. Landlord tenant eviction and appeals process.
2. Resident’s rights to unrestricted telephone access, unless otherwise documented and justified in the person-centered care plan.
3. Sample menus of meals served and plan for access to food available at any time, unless otherwise documented and justified in the person-centered care plan.
4. Procedure concerning the use and management of resident funds.
5. Any relevant expectations with which the resident is expected to comply, including restrictions on the use of alcohol or tobacco in the facility.
6. Procedure used for billing, collecting, and reimbursing the charge for board, room, and care.
7. Plan for furnishing of non-emergency resident transportation by the provider.
8. Resident’s right to furnish and decorate their bedroom as desires, unless otherwise documented and justified in the person-centered care plan.
9. Resident’s right to control their own schedules and activities, unless otherwise documented and justified in the person-centered care plan.
10. Resident’s right to have visitors of their choosing at any time, unless otherwise documented and justified in the person-centered care plan.
11. Accurate and complete information regarding the extent and nature of the care available from the provider including whether or not the client requires twenty-four (24) hour supervision or the appropriate length of time the resident may be safely left alone.
12. Procedure for the distribution of mail and for sending mail.
13. Resident’s right to be free from coercion and restraint.

2. All agreement modifications must be supported by a specific assessed need of the resident and documented and justified in the person-centered care plan or service and rental agreement. The Service and Rental Agreement must be reviewed by the provider and County Social Service Agency at license renewal.
3. All agreement modifications made after the date the initial agreement was signed must be in writing and signed by the resident or resident’s legal representative and the provider. The provider shall furnish the resident, or the resident’s legal representative, the County Social Service Agency, and the Aging Services Division with a signed copy of the modifications. A copy of the modifications must be kept in the resident’s records.