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TITLE 26HEALTH AND HUMAN SERVICES
PART 1HEALTH AND HUMAN SERVICES COMMISSION
CHAPTER 554NURSING FACILITY REQUIREMENTS FOR LICENSURE AND MEDICAID CERTIFICATION
SUBCHAPTER TADMINISTRATION
RULE §554.1936Guardianship Orders for a Nursing Facility Resident

(a) A facility must request a copy of any current court order appointing a guardian and letters of guardianship for a resident or a resident's estate from the resident's nearest relative or the person responsible for the resident's support.

(b) A facility must request the court order and letters of guardianship:

  (1) when a facility admits an individual; and

  (2) when the facility becomes aware a guardian is appointed after the facility admits a resident.

(c) A facility must request an updated copy of the court order and letters of guardianship at each annual assessment and retain documentation of any change.

(d) A facility must make at least one follow-up request within 30 days after the facility makes a request in accordance with subsection (b) or (c) of this section if the facility has not received:

  (1) a copy of the court order and letters of guardianship; or

  (2) a response that there is no court order and letters of guardianship.

(e) A facility must keep in the resident's clinical record:

  (1) documentation of the results of the request for the court order and letters of guardianship; and

  (2) a copy of the most recent court order appointing a guardian of a resident or a resident's estate and letters of guardianship that the facility received.


Source Note: The provisions of this §554.1936 adopted to be effective July 21, 2016, 41 TexReg 5203; transferred effective January 15, 2021, as published in the Texas Register December 11, 2020, 45 TexReg 8871

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