Involuntary transfers and discharges are among the most common sources of resident grievances, regulatory citations, and litigation in nursing homes. This session takes a deep dive into the CMS federal requirements (42 CFR §483.15) and Michigan-specific regulations governing when and how a resident can be discharged against their will. Attendees will learn how to recognize permitted reasons for discharge, the required notice and documentation protocols, and residents’ appeal rights. Real-world case studies and common pitfalls will be explored, along with practical strategies for avoiding violations, preserving resident dignity, and ensuring compliance during challenging scenarios.

Nurse Learner Outcome: At the conclusion of this educational activity, learners will self-report a knowledge increase on how to navigate involuntary resident transfers.

Learner Objectives:

1. Identify the federal requirements under CMS (42 CFR §483.15) related to involuntary transfers and discharges in nursing homes.
2. Interpret key Michigan-specific rules and appeal rights impacting resident transfers and discharges.
3. Differentiate between allowable and prohibited reasons for involuntary transfer under both federal and state regulations.
4. Apply proper documentation, notification, and due process procedures to minimize risk of citations and uphold resident rights.
5. Analyze common survey deficiencies and real-life case examples involving improper involuntary discharges.
6. Develop proactive communication and care planning strategies to reduce conflict and avoid involuntary discharges.