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175 NAC 14-006.05 — Standards of Operation, Care, and Treatment: Patient Rights

NebraskaregulationNebraska Department of Health and Human Services· effective 2008-08-10

What this rule requires your agency to do

  • 1The governing body must establish a bill of rights equally applicable to all patients (14-006.05).(175 NAC 14-006.05 — Standards of Operation, Care, and Treatment: Patient Rights)
  • 2The agency must provide the patient/designee written notice of the patient's rights in advance of furnishing care or during the initial evaluation visit before initiation of treatment, and must maintain documentation that the patient/designee received and understands them (14-006.05).(175 NAC 14-006.05 — Standards of Operation, Care, and Treatment: Patient Rights)
  • 3The agency must investigate complaints/grievances regarding care or treatment, document both the existence and resolution, and inform the patient/designee of the outcome (14-006.05(10)).(175 NAC 14-006.05 — Standards of Operation, Care, and Treatment: Patient Rights)
  • 4The agency must honor the enumerated patient rights, including choice of agency, participation in care planning, informed consent, right to refuse care, nondiscrimination, confidentiality, record review, and freedom from abuse and disrespect of property (14-006.05(1)-(14)).(175 NAC 14-006.05 — Standards of Operation, Care, and Treatment: Patient Rights)
  • 5The agency must give all patients or designees a copy of the bill of rights upon commencement of services and maintain documentation of compliance (14-006.05A).(175 NAC 14-006.05 — Standards of Operation, Care, and Treatment: Patient Rights)
  • 6The agency must comply with the Health Care Power of Attorney Act (Neb. Rev. Stat. §§ 30-3401 to 30-3432) and Rights of the Terminally Ill Act (§§ 20-401 to 20-416) and distribute written information on its advance-directive policies, including applicable State law (14-006.05B).(175 NAC 14-006.05 — Standards of Operation, Care, and Treatment: Patient Rights)
  • 7In-home Department assessment visits require the patient/designee's notified verbal consent and a signed written consent form arranged by the agency; patients have the right to refuse such visits; and the rights of incompetent or non-adjudicated patients are exercised by authorized designees under State law (14-006.05C, 14-006.05C1-C2, 14-006.05D).(175 NAC 14-006.05 — Standards of Operation, Care, and Treatment: Patient Rights)
  • 8The agency must give a patient at least a two-week notice prior to termination of services, except when discharged by physician's written order or when termination is based on an unsafe care environment, patient non-compliance with the plan of care, or failure to pay (14-006.05(9)).(175 NAC 14-006.05 — Standards of Operation, Care, and Treatment: Patient Rights)

Applies to: personal care

Requires each home health agency to establish and distribute a patient bill of rights, provide written notice of patient rights before or at the initial evaluation visit, and document that the patient/designee received and understands them. Enumerates the specific rights (choice of agency, participation in care planning, informed consent, refusal of care, nondiscrimination, confidentiality, record review, two-week termination notice, grievances without reprisal, freedom from abuse, respect for property, and advance directives) and sets advance-directive, in-home assessment consent, and patient-competency requirements. Framework topic: Patient Rights and Consent.

Regulatory information, not legal advice — always confirm against the cited official source. Verification reduces error; it does not certify compliance.