Nursing homes/healthcare facilities must provide written notification of an impending closure to the State Survey Agency, State LTC ombudsman, residents of the facility, and the legal representatives of such residents or other responsible parties at least 60 days prior to the closure, or sooner if the Secretary terminates the facility's participation in Medicare or Medicaid. The administrator must also ensure that the facility does not admit any new residents on or after the date on which the written notification is submitted. The closure plan must include the steps for a safe and orderly facility closure, including the transfer, discharge or relocation of all residents, and must be approved by the State. The administrator must also notify the facility's Medical Director, residents' primary physician, CMS Regional Office, and State Medicaid Agency in writing prior to the impending closure. The administrator must also make every effort to lessen transfer trauma for residents. The notice must include the name, address, and telephone number of the State LTC ombudsman, contact information for the protection and advocacy of developmentally disabled individuals, and contact information for the protection and advocacy of individuals with mental illness. Nursing homes/healthcare facilities must take these actions in order to be in compliance with the regulation.

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