Nursing Home Care Contract

Effective Date: [Month, Day, Year]

This Nursing Home Care Contract (the "Agreement") is entered into as of the effective date above between [Your Company Name] ("the Facility") and [Client Name] ("the Resident"), along with [Resident’s Representative Name] ("the Resident’s Representative"), if applicable. The purpose of this Agreement is to define the services, fees, responsibilities, and terms of the care provided by [Your Company Name] to the Resident. This Agreement ensures a clear understanding of the expectations and commitments of all parties involved.

I. Parties Involved

A. The Facility

1. Facility Overview
   [Your Company Name], situated at [Your Company Address], is a licensed and accredited nursing home specializing in long-term care for elderly individuals. The Facility is dedicated to providing high-quality, compassionate care in a comfortable and safe environment. The Facility adheres to all state and federal regulations governing nursing home care and maintains high standards of practice to ensure the well-being of its residents.

2. Facility’s Responsibilities
   The Facility is committed to offering a nurturing environment where each resident receives individualized attention and care tailored to their specific needs. The Facility will continuously evaluate and update its care practices to align with the latest advancements in healthcare and resident care protocols.

B. The Resident

1. Resident Information
   The Resident, [Client Name], agrees to reside at the Facility and receive care as outlined in this Agreement. The Resident’s health and personal preferences will be taken into account in the development of their care plan. The Resident will be involved in their care decisions and will have the opportunity to provide input regarding their treatment and daily activities.

2. Resident’s Rights
   The Resident is entitled to receive care with respect and dignity, and to be informed about their medical condition and care options. The Resident has the right to participate in all decisions regarding their care and to voice concerns or complaints without fear of retaliation.

3. Resident’s Representative (if applicable)
   The Resident’s Representative, [Resident’s Representative Name], is authorized to make decisions on behalf of the Resident regarding legal, financial, or medical matters, as designated by power of attorney or legal appointment. The Representative will act in the best interest of the Resident and ensure that their preferences and needs are communicated to the Facility.

II. Services Provided

A. Basic Care Services

1. Medical Care and Monitoring
   The Facility will provide comprehensive medical care, including regular monitoring of the Resident’s vital signs such as blood pressure, heart rate, and temperature. The Facility’s medical team will administer prescribed medications and provide immediate attention in the event of a medical emergency, ensuring that the Resident receives timely and appropriate care. The Facility will maintain detailed medical records for each Resident, documenting all aspects of their care and treatment.

2. Assistance with Daily Living Activities (ADLs)
   The Facility will offer support with daily living activities, including assistance with bathing, dressing, and grooming, to help the Resident maintain personal hygiene and comfort. Care staff will assist with feeding and ensuring proper nutrition for those who require help with meals. Special attention will be given to dietary needs and preferences to enhance the Resident’s quality of life. Mobility assistance will be provided to help the Resident move safely around the Facility, including transfers from bed to wheelchair and support with walking if necessary.

3. Nutritional Services
   The Facility will provide three well-balanced, nutritious meals each day, prepared to meet dietary guidelines and the specific nutritional needs of the Resident. Meals will be designed by a registered dietitian to ensure they meet the Resident’s health requirements and preferences. Special diet plans, such as low-sodium or diabetic diets, will be accommodated. The Facility will offer snacks between meals to ensure the Resident’s dietary needs are met and to provide additional energy and satisfaction.

4. Housekeeping and Laundry
   The Facility will ensure that the Resident’s living environment is clean and hygienic. Daily housekeeping services will include cleaning and sanitizing the Resident’s room and common areas to prevent the spread of infection and maintain a pleasant atmosphere. Laundry services will be provided for the Resident’s personal clothing and bed linens. Items will be washed, dried, and returned to the Resident in a timely manner, ensuring cleanliness and comfort.

5. Social and Recreational Activities
   The Facility will organize a diverse range of social and recreational activities to promote engagement, mental stimulation, and social interaction among residents. Activities may include group games, arts and crafts, exercise classes, and musical performances. The Facility will also facilitate outings and events to enhance the Resident’s social experience and overall well-being. Residents will have the opportunity to participate in activities of their choice, and staff will work to accommodate personal interests and hobbies.

B. Specialized Care Services

1. Memory Care
   For residents diagnosed with Alzheimer’s disease or other forms of dementia, the Facility provides a specialized memory care unit. This unit is designed to offer a secure and structured environment tailored to the unique needs of residents with cognitive impairments. Staff in the memory care unit receive specialized training to handle the challenges associated with memory loss and dementia, ensuring compassionate and effective care. The Facility will implement individualized care plans to address each resident’s cognitive and emotional needs, including engaging activities that promote cognitive function and emotional well-being.

2. Physical and Occupational Therapy
   The Facility offers on-site physical and occupational therapy services to support residents in regaining or maintaining their physical abilities and independence. Therapy services will be provided by licensed therapists who will develop customized treatment plans based on the Resident’s specific needs and goals. The Facility will coordinate therapy sessions with the Resident’s overall care plan and track progress to ensure that therapy goals are met effectively.

3. Hospice and Palliative Care
   For residents with terminal illnesses, the Facility provides hospice care focused on comfort, pain management, and emotional support. This care aims to enhance the quality of life for residents in their final stages. Palliative care is available for residents experiencing serious illness or chronic conditions, providing relief from symptoms and support for physical and emotional well-being. The Facility will work closely with hospice and palliative care teams to ensure that the Resident receives comprehensive and compassionate care.

4. Respite Care
   Respite care services offer temporary relief for primary caregivers, allowing them to take a break while ensuring that the Resident continues to receive high-quality care. Respite care can be arranged for periods of up to [30] days. The Facility will provide the same level of care and services as described in this Agreement during the respite period. The Facility will work with the Resident and their family to ensure a smooth transition and continuity of care during the respite period.

C. Optional Services (Additional Fees May Apply)

1. Beauty and Grooming Services
   The Facility provides optional beauty and grooming services, including haircuts, hairstyling, manicures, and pedicures. These services are designed to enhance the Resident’s personal appearance and well-being. Residents may schedule appointments with on-site beauty professionals, and the Facility will ensure that these services are delivered in a respectful and comfortable manner.

2. Private Transportation
   The Facility offers private transportation services for residents who need to attend off-site medical appointments, family visits, or other personal engagements. The transportation service is available within a [30] mile radius of the Facility. Arrangements for transportation should be made in advance to ensure availability and coordination. Fees for private transportation will be billed separately and are not included in the standard monthly care fee.

III. Financial Terms

A. Fees

1. Monthly Room and Board
   The Resident agrees to pay a monthly fee of [$1,500] for room and board. This fee covers the cost of lodging, basic care services, meals, and access to social and recreational activities. The monthly fee may vary based on the type of room selected (private or shared) and the level of care required. The Facility will provide a detailed fee schedule upon request. Any changes to the monthly fee will be communicated to the Resident or their Representative in writing, with a [30] day notice period before the new rate becomes effective.

2. Additional Fees
   Optional or specialized services not included in the monthly room and board fee will incur additional charges. These services include but are not limited to memory care, physical and occupational therapy, and beauty and grooming services. The Facility will provide an itemized bill for any additional services used, and charges will be added to the Resident’s monthly invoice. The Resident or their Representative will have the opportunity to review and verify any additional charges before they are finalized.

B. Payment Terms

1. Due Date
   Payments for the upcoming month’s services are due by the [5th] day of each month. Timely payment is essential to ensure uninterrupted care and services. Payments can be made through various methods, including check, credit card, or direct bank transfer. Instructions for making payments will be provided to the Resident or their Representative.

2. Late Payments
   Late payments will incur a fee of [$100] for every [10] days past the due date. This fee is intended to cover administrative costs and encourage timely payment. If the Resident’s account becomes delinquent for more than [60] days, the Facility reserves the right to terminate this Agreement. In such cases, the Resident will be given written notice and a reasonable period to address the outstanding balance before discharge procedures are initiated.

C. Financial Assistance

1. Eligibility for Assistance
   The Resident may be eligible for financial assistance through Medicaid or other state and federal programs designed to support individuals in long-term care. The Facility can assist the Resident or their Representative in applying for financial aid and will provide guidance on eligibility requirements and application procedures.

2. Adjustments and Accommodations
   If the Resident experiences financial hardship, they should notify the Facility as soon as possible. The Facility will work with the Resident to explore possible solutions, such as adjusted payment plans or financial assistance options. The Facility is committed to ensuring that financial challenges do not compromise the quality of care provided to the Resident.

IV. Resident Rights

A. Right to Quality Care

1. Care Standards
   The Resident has the right to receive care that meets or exceeds established standards of quality and safety. The Facility is committed to providing care that promotes the Resident’s health, comfort, and dignity.The Facility will regularly review and update its care practices to ensure compliance with best practices and regulatory requirements.

2. Respect and Dignity
   The Resident is entitled to be treated with respect and dignity at all times. This includes respectful communication, privacy during personal care, and consideration of the Resident’s personal preferences and values. The Facility will foster an environment that supports the Resident’s autonomy and self-respect.

B. Right to Participate in Care Decisions

1. Informed Consent
   The Resident has the right to be fully informed about their medical condition, treatment options, and potential outcomes. This includes receiving clear explanations from healthcare providers and having the opportunity to ask questions. The Resident’s consent must be obtained before any treatment or procedure is performed, except in emergencies where consent cannot be obtained in time.

2. Care Planning
   The Resident has the right to actively participate in the development and ongoing review of their individualized care plan. This includes setting goals and making decisions about their care and treatment. If the Resident is unable to participate in decision-making, their Representative will be involved in planning and decisions to ensure that the Resident’s preferences are honored.

C. Right to Privacy

1. Confidentiality
   The Facility will maintain the confidentiality of the Resident’s personal and medical information, adhering to privacy laws and regulations. Information will only be shared with authorized individuals or entities as required by law. The Resident has the right to review their medical records and request corrections if any inaccuracies are found.

2. Private Visits
   The Resident has the right to receive visitors in private areas designated by the Facility. Family members and friends are encouraged to visit and maintain social connections with the Resident. The Facility will ensure that visitors are respectful of the Resident’s privacy and do not interfere with the Resident’s care or well-being.

D. Right to Appeal

1. Grievance Process
   The Resident or their Representative has the right to file a grievance if they are dissatisfied with any aspect of the care or services provided by the Facility. The Facility will have a formal grievance process in place to address and resolve complaints. Complaints should be submitted in writing to the Facility’s management, and a response will be provided within [30] days. The Facility will investigate the issue and take appropriate action to resolve it.

2. Resolution and Follow-Up
   If the grievance is not resolved to the satisfaction of the Resident or their Representative, they may seek external assistance from state regulatory agencies or advocacy organizations. The Facility will cooperate with any investigations or reviews conducted by external agencies to ensure compliance and improve care practices.

V. Resident Responsibilities

A. Compliance with Facility Policies

1. Adherence to Rules
   The Resident agrees to adhere to all rules and regulations established by the Facility for the safety and well-being of all residents. This includes policies related to safety, security, and conduct within the Facility. The Resident will be provided with a copy of the Facility’s policies upon admission and is expected to familiarize themselves with and follow these guidelines.

2. Respect for Others
   The Resident is expected to respect the privacy and property of other residents and staff members. Disruptive or inappropriate behavior will be addressed to maintain a harmonious living environment. The Facility encourages open communication and cooperation among residents to foster a positive and supportive community.

B. Notification of Changes in Condition

1. Health and Medication Updates
   The Resident or their Representative must promptly inform the Facility of any changes in the Resident’s health condition, including new symptoms, changes in medications, or alterations in their medical needs. Timely notification of changes will enable the Facility to adjust the care plan and ensure that the Resident receives appropriate and effective care.

2. Financial Status
   The Resident or their Representative should notify the Facility of any changes in their financial status that may affect their ability to meet payment obligations. The Facility will work with the Resident to address financial issues and explore options for financial assistance if needed.

C. Payment Obligations

1. Timely Payments
   The Resident or their Representative is responsible for ensuring that all fees and charges associated with care are paid in a timely manner. Failure to meet payment obligations may result in late fees and potential termination of the Agreement. The Facility will provide regular statements detailing fees and charges, and the Resident is encouraged to review these statements for accuracy.

2. Financial Hardship
   In the event of financial hardship, the Resident should communicate with the Facility to discuss potential solutions, such as adjusted payment plans or temporary financial relief. The Facility is committed to working with residents to address financial challenges and ensure that care continues without undue disruption.

VI. Termination of Agreement

A. Voluntary Termination

1. Notice Requirements
   The Resident or the Resident’s Representative may terminate this Agreement at any time by providing written notice to the Facility at least [30] days in advance. This notice allows the Facility to make necessary arrangements for the Resident’s departure. Upon receipt of the termination notice, the Facility will assist with the transition process, including arranging for any necessary moving services or coordination with other care providers.

2. Refunds
   Any unused portion of prepaid fees for services not rendered will be refunded to the Resident or their Representative, less any applicable processing fees. The Facility will provide a final statement of account detailing any refunds due and ensure that the refund is processed promptly.

B. Involuntary Termination

1. Conditions for Termination
   The Facility reserves the right to terminate this Agreement under specific conditions, including non-payment of fees, changes in the Resident’s health condition that require a higher level of care than the Facility can provide, or repeated violations of Facility policies. The Facility will provide written notice of termination and a reasonable period for the Resident to make alternative arrangements for their care.

2. Emergency Situations
   In emergency situations where the Resident’s health or safety is at immediate risk, the Facility may initiate discharge procedures without the standard notice period. The Facility will work to ensure a safe and orderly transition, coordinating with emergency services and providing support to the Resident and their family.

VII. Dispute Resolution

1. Mediation
   Any disputes or disagreements arising from this Agreement will first be submitted to mediation. Mediation involves a neutral third party who will facilitate discussions and help the parties reach a mutually acceptable resolution. Mediation is a non-binding process and serves as a preliminary step before pursuing more formal dispute resolution methods.

2. Arbitration
   If mediation does not resolve the dispute, the matter will proceed to binding arbitration. Arbitration is a formal process where a neutral arbitrator makes a decision that is final and enforceable in a court of law. The arbitration process will be conducted in accordance with the rules of the American Arbitration Association, and the decision will be based on the evidence and arguments presented.

VIII. General Provisions

A. Amendments

1. Modification of Agreement
   This Agreement may only be amended or modified in writing, with the consent of both the Facility and the Resident or the Resident’s Representative. Verbal agreements or modifications are not valid and will not be recognized. Any amendments will be documented and signed by both parties to ensure clarity and mutual understanding.

B. Governing Law

1. Jurisdiction
   This Agreement will be governed by and construed in accordance with the laws of the state in which the Facility is located. Any legal disputes arising from this Agreement will be subject to the jurisdiction of the state’s courts. The Facility and the Resident agree to submit to the jurisdiction of the state’s courts for any legal proceedings related to this Agreement.

C. Severability

1. Validity of Provisions
   If any provision of this Agreement is found to be invalid or unenforceable by a court of law, the remaining provisions will continue to be in full force and effect. The parties agree to negotiate in good faith to replace any invalid or unenforceable provision with a valid and enforceable one that reflects the original intent of the Agreement.

D. Entire Agreement

1. Supersession
   This Agreement constitutes the entire agreement between the parties and supersedes any prior discussions, representations, or agreements, whether written or oral. Any prior agreements or understandings related to the care of the Resident are null and void upon the execution of this Agreement.

IX. Signatures

By signing below, the parties acknowledge that they have read, understood, and agree to all terms and conditions outlined in this Agreement.

Resident:

Printed Name:                                                            
Date:                                                             

Resident’s Representative (if applicable):

Printed Name:                                                             
Date:                                                             

[Your Company Name]:

Printed Name:                                                             
Position:                                                            
Date:                                                             

Nursing Home Templates @ Template.net