10511 Emergency Admissions to Nursing Facilities

Nursing facilities (NF) are not obligated to admit an adult. If the adult does not have a Guardian/ Conservator in place, s/he must be willing to go to a nursing facility. The purpose of the Emergency Adult Protective Services (APS) Admission to Nursing Facility (PPS 10510) is to assist the nursing facility when admission is occurring without a current Client Assessment, Referral and Evaluation (CARE) assessment in place.

When an adult is in need of emergency admission to a nursing facility and no CARE assessment has been completed by staff of the appropriate Area Agency on Aging (AAA), the APS Specialist may do an emergency admission using the following procedure:

1. Obtain medical consultation, if appropriate.
2. Contact AAA to request and schedule emergency CARE assessment. Provide information regarding the involved adult’s condition, if known. Assist with NF admission as needed.
3. Contact the NF to inquire if they will admit the involved adult. If no CARE Assessor is available, inform the NF there is no AAA CARE assessor available. Provide information to the NF regarding the condition of the adult and the reason for the emergency admission request.
4. If the NF agrees to the admission, make arrangements for the admission. If there are others (guardian, family, caretaker, etc.) appropriate and willing to assist with the admission arrangements, involve them.
5. Complete the PPS 10510, and scan a copy into the Notes section of the KIPS record.
6. It is the responsibility of the Nursing Facility to distribute the remainder of the copies, to notify the local AAA of the admission, and to obtain a CARE Assessment for the adult on the next working day.