This letter outlines the rights of nursing home or other healthcare facility residents to request, refuse, and discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. The letter also explains the facility's responsibility to provide information to residents about their right to accept or refuse medical or surgical treatment and to formulate an advance directive, as well as the facility's responsibility to ensure that the resident's wishes are followed and documented. Additionally, the letter provides guidance on advance care planning and the POLST paradigm form. These rights and responsibilities are important for nursing homes and other healthcare facilities to understand, as they must ensure that they are following the requirements specified in 42 CFR part 489, subpart I (Advance Directives) and providing residents with the necessary information and assistance to make informed decisions about their healthcare.

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