This letter discusses the rights of residents in nursing homes or other healthcare facilities to refuse transfers to another room in the facility if the purpose of the transfer is solely for the convenience of staff. It defines distinct parts, composite distinct parts, and campus and outlines the rights of the resident to refuse a transfer, including that refusal does not affect their eligibility for Medicare or Medicaid benefits. It also provides guidance and probes for facilities to ensure that the resident is given the opportunity to refuse a transfer and is notified of changes in eligibility for Medicare or Medicaid covered services. Facilities must also follow the additional guidance provided in 42 CFR §483.15, F620 Admission, Transfer, and Discharge Rights. This letter impacts nursing homes and healthcare facilities by requiring them to ensure that residents are given the opportunity to refuse transfers and are notified of changes in eligibility for Medicare or Medicaid covered services.

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