Rate Increases and New Charges: What’s Permitted?

RATE INCREASESIn general, RCFEs are free to set their own rates and charge whatever amount residents are willing to pay.  However, California law requires that facilities comply with certain notice requirements for rate increases to be valid. 

Access to Medical Records in California Nursing Homes

Residents of nursing homes and their families have the right to access the resident’s medical records.1 Facilities and health care providers must provide medical records to the resident or family member within a short period of time, as specified by law.

Outline of Residents’ Rights, Residential Care Facilities for the Elderly

I. Admission Rights

Admission Process

  • A facility must not discriminate against a person seeking admission or a resident based on sex, race, color, religion, national origin, marital status, registered domestic partner status, ancestry, actual or perceived sexual orientation, or actual or perceived gender identity.  (HSC 1569.269(b))
  • The admission agreement, its attachments, and any other document that a resident or representative is required to sign as a condition of admission must not require the resident to waive benefits or rights to which the resident is entitled under federal or state law or regulation.  (HSC 1569.269(c))
  • At admission, the facility must advise a resident and resident’s representative of the resident’s rights established by California laws and regulations, give them a complete written copy of the rights, have each resident and representative sign and date a copy of the resident’s rights, and include the signed and dated copy in the resident’s record.  (HSC 1569.267(a))
  • Prior to or at admission, residents have the right to be fully informed of all rules governing their conduct and responsibilities, as evidenced by the resident’s written acknowledgement.  (HSC 1569.269(a)(13))
  • Prior to or at admission, residents have the right to be informed in writing of any resident retention limitations by the state or facility, including any limitations or restrictions on the facility’s ability to meet residents’ needs.  (HSC 1569.269(a)(15))

Admission Agreements (Contracts)

  • All basic services provided under a single fee must be listed in the agreement.