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September 7, 2017

Example #1 Resident A is a current RCAP resident of Happy House Residential Care Facility, a participating facility in the state’s Residential Care Assistance Program. Resident A falls at Happy House RCF and is admitted to the hospital for surgery to repair a fractured hip. Following Resident A’s hospitalization, the resident is transferred to Sunshine Nursing and Rehabilitation Center for rehabilitation therapy. After three months of therapy, Resident A is ready for discharge from the nursing facility as they no longer meet nursing facility level of care. Due to their continuous stay in the nursing facility being under 180 days, Resident A is eligible to return to Happy House RCF or to another RCAP facility participating in the program and become an active RCAP resident again. Example #2 Resident B is a current RCAP resident of Happy House Residential Care Facility, a participating facility in the state’s Residential Care Assistance Program. Resident B experienced a fall at Happy House RCF and is admitted to the hospital for surgery to repair a fractured hip. Following Resident B’s hospitalization, they are transferred to Sunshine Nursing Facility and Rehabilitation Center for rehabilitation therapy. Within two months, 60 days, of therapy, Resident B falls at the nursing facility and is transferred back to the hospital. Resident B is admitted to the hospital for further treatment and surgery to repair the previously fractured hip. Once Resident B is stable, they are again transferred back to Sunshine Nursing and Rehabilitation Center for more therapy. Since Resident B returned to a nursing facility, they are allowed another 180 days based upon the second admission into the nursing facility. Resident B remains ‘on hold’ as an active/current RCAP client until such time as Resident B returns to an RCAP facility on the 181st day or is discharged from RCAP due to exceeding the allowable 180 LOA days. Example # 3 Resident C is a current RCAP resident of Happy House Residential Care Facility, a participating facility in the state’s Residential Care Assistance Program. Resident C becomes ill and is in need of a higher level of care than the RCAP facility can provide; however, Resident C does not warrant hospitalization. With the resident’s permission, the RCAP facility contacts Sunshine Nursing and Rehabilitation Center for a possible nursing facility admission. The nursing facility contacts the local Area Agency on Aging, which authorizes Resident C to enter the nursing facility. Resident C is ‘on hold’ as an active/current RCAP resident and is allowed 180 days of nursing facility care. Resident C remains ‘on hold’ until they can either return to a RCAP facility by the 181st day, or is discharged from RCAP due to exceeding the allowable 180 LOA days. Example # 4 Resident D is a current resident of Happy House Residential Care Facility, a participating facility in the state’s Residential Care Assistance Program. Resident D falls at Happy House RCF and is admitted to the hospital for surgery to repair a fractured hip. Following resident’s hospitalization, Resident D is transferred to Sunshine Nursing and Rehabilitation Center for rehabilitation therapy. After three months of therapy, Resident D is ready for discharge and no longer meets nursing facility level of care. Upon discharge, Resident D moves into an apartment with a friend instead of returning to Happy House