Nursing homes and other healthcare facilities must have a written transfer agreement with one or more hospitals approved for participation under the Medicare and Medicaid programs to ensure the safe and orderly transfer of residents. The agreement must assure that residents will be transferred for timely admission to the hospital when medically appropriate and that medical and other information needed for care and treatment of residents will be exchanged between the providers. Facilities must also make a good faith effort to enter into an agreement with a hospital sufficiently close to the facility to make the transfer safe and orderly. Noncompliance with these requirements may result in citations from surveyors. Nursing homes and other healthcare facilities must therefore ensure they have a transfer agreement in place and that it meets the requirements outlined in the letter.

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