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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 HQUALITY OF LIFE
RULE §554.706Resident Group and Family Council

(a) A resident has the right to organize and participate in resident groups in a facility.

(b) A facility must assist a resident who requires assistance to attend resident group meetings.

(c) A resident has the right to have a family member or other resident representative meet in the facility with the family or resident representative of other residents in the facility and organize a family council. A family council may:

  (1) make recommendations to the facility proposing policy and operational decisions affecting resident care and quality of life; and

  (2) promote educational programs and projects intended to promote the health and happiness of residents.

(d) If a resident group or family council exists, a facility must:

  (1) listen to and consider the views of a resident group or family council and act promptly upon the grievances and recommendations of residents and families concerning issues of resident care and life in the facility;

  (2) be able to demonstrate responses to the grievances and recommendations of the resident group or family council and the rationale for such responses;

  (3) provide a resident group or family council with private space and take reasonable steps with the approval of the group, to make residents and family members aware of upcoming meetings in a timely manner;

  (4) provide a designated staff person who is approved by the resident or family group and the facility and who is responsible for providing assistance and responding to written requests that result from resident group and family council meetings; and

  (5) allow staff or visitors to attend meetings only at the resident group's or family council's invitation.

(e) If a family council exists, a facility must:

  (1) upon written request, allow the family council to meet in a common meeting room of the facility at least once a month during hours mutually agreed upon by the family council and the facility;

  (2) provide the family council with adequate space on a prominent bulletin board to post notices and other information;

  (3) designate a staff person to act as the family council's liaison to the facility;

  (4) respond in writing to written requests by the family council within five working days;

  (5) include information about the existence of the family council in a mailing that occurs at least semiannually;

  (6) permit a representative of the family council to discuss concerns with an individual conducting an inspection or survey of the facility; and

  (7) allow a resident to participate in a family council.

(f) Unless the resident objects, a family council member may authorize, in writing, another member to visit and observe a resident represented by the authorizing member.

(g) A facility must not limit the rights of a resident, a resident's family member, or a family council member to meet with an outside person, including:

  (1) an employee of the facility during the employee's nonworking hours if the employee agrees;

  (2) a member of a nonprofit or government organization; or

  (3) another resident representative.

(h) A facility must not:

  (1) terminate an existing family council;

  (2) prevent or interfere with the family council from receiving outside correspondence addressed to the family council or open family council mail; or

  (3) willfully interfere with the formation, maintenance, or operation of a family council, including interfering by:

    (A) denying a family council the opportunity to accept help from an outside person;

    (B) discriminating or retaliating against a family council participant; or

    (C) willfully scheduling events in conflict with previously scheduled family council meetings, if the facility has other scheduling options.


Source Note: The provisions of this §554.706 adopted to be effective September 1, 2008, 33 TexReg 6151; amended to be effective March 24, 2020, 45 TexReg 2025; transferred effective January 15, 2021, as published in the Texas Register December 11, 2020, 45 TexReg 8871

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