This letter outlines the rights of all residents in long-term care facilities, including those who are justice-involved. All residents must be treated with dignity and respect and must have access to quality care regardless of diagnosis, severity of condition, or payment source. Staff must protect and promote the rights of the resident, and must interact with them in a manner that takes into account their physical limitations and respects their autonomy and communication. Facilities must not establish policies or practices that hamper, compel, treat differently, or retaliate against a resident for exercising their rights. Justice-involved residents must be given the same rights as all other residents, and the facility must not enforce restrictive terms from law enforcement that violate CMS requirements. This letter will impact nursing homes/healthcare facilities by requiring them to ensure that all residents, including justice-involved individuals, are treated with dignity and respect, and that they are not restricted from exercising their rights. Facilities must also not establish policies or practices that hamper, compel, treat differently, or retaliate against a resident for exercising their rights, and must not enforce restrictive terms from law enforcement that violate CMS requirements. Additionally, facilities should observe interactions between staff and residents to ensure that they are treating residents with respect and that their autonomy and communication are respected.

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