45 Dignity 31 Withdraw Consent for Visitors 27 Sufficient Staff 75 Protection of Funds 32 Freedom from Physical Abuse 29 Participate in Care Planning 18 Special Diets 3 Private Closet Space 13 Appropriate Health Care 69 Prompt Efforts by Facility to Resolve Grievances 67 Communications with Persons of Your Choice 66 Privacy 44 Licensed Facility 9 Manage Own Finances 71 Freedom of Discrimination 51 Choice of Physician 54 Participate in Activities of Choice 28 Food Substitutes 52 Appropriate Exercise 60 Freedom of Reprisal 61 Comfortable Sound Levels 59 Receive Proper Assistive Devices 6 Information About Rights 40 Clean Bed Linens 12 Choice of Routine 53 Unopened Mail 20 Consideration 72 Confidentiality About Your Condition 56 Privacy in Treatment 17 Comfortable Temperature Levels 64 Sexuality 70 Vote 42 Telephone Privacy 73 Written Notice of Right to Appeal 8 Discharge Planning 41 Information abouy Ombudsman 62 Religious Freedom 16 Private Communication 50 Only Certain reason for Transfer 21 Dental Services 26 Examine Survey Results 24 Examine Records 37 Good Social Services 5 Notice Before Discharge 49 Nutritional Meals 2 Safe Environment 35 Refuse Medication or treatment 33 Security for personal Belongings 22 Trained Nurses Aids 74 Name of and How to Contact Physician 14 Participate in Community Activities 15 Freedom from Physical Restraints 38 Have Personal Possessions 4 Have Visitors 55 Freedom from Verbal Abuse 46 Life Safety 25 Raise Concerns 1 Adequate Lighting 48 Married Couple Sharing a Room 45 Dignity 31 Withdraw Consent for Visitors 27 Sufficient Staff 75 Protection of Funds 32 Freedom from Physical Abuse 29 Participate in Care Planning 18 Special Diets 3 Private Closet Space 13 Appropriate Health Care 69 Prompt Efforts by Facility to Resolve Grievances 67 Communications with Persons of Your Choice 66 Privacy 44 Licensed Facility 9 Manage Own Finances 71 Freedom of Discrimination 51 Choice of Physician 54 Participate in Activities of Choice 28 Food Substitutes 52 Appropriate Exercise 60 Freedom of Reprisal 61 Comfortable Sound Levels 59 Receive Proper Assistive Devices 6 Information About Rights 40 Clean Bed Linens 12 Choice of Routine 53 Unopened Mail 20 Consideration 72 Confidentiality About Your Condition 56 Privacy in Treatment 17 Comfortable Temperature Levels 64 Sexuality 70 Vote 42 Telephone Privacy 73 Written Notice of Right to Appeal 8 Discharge Planning 41 Information abouy Ombudsman 62 Religious Freedom 16 Private Communication 50 Only Certain reason for Transfer 21 Dental Services 26 Examine Survey Results 24 Examine Records 37 Good Social Services 5 Notice Before Discharge 49 Nutritional Meals 2 Safe Environment 35 Refuse Medication or treatment 33 Security for personal Belongings 22 Trained Nurses Aids 74 Name of and How to Contact Physician 14 Participate in Community Activities 15 Freedom from Physical Restraints 38 Have Personal Possessions 4 Have Visitors 55 Freedom from Verbal Abuse 46 Life Safety 25 Raise Concerns 1 Adequate Lighting 48 Married Couple Sharing a Room
(Print)
45
Dignity
31
Withdraw Consent for Visitors
27
Sufficient Staff
75
Protection of Funds
32
Freedom from Physical Abuse
29
Participate in Care Planning
18
Special Diets
3
Private Closet Space
13
Appropriate Health Care
69
Prompt Efforts by Facility to Resolve Grievances
67
Communications with Persons of Your Choice
66
Privacy
44
Licensed Facility
9
Manage Own Finances
71
Freedom of Discrimination
51
Choice of Physician
54
Participate in Activities of Choice
28
Food Substitutes
52
Appropriate Exercise
60
Freedom of Reprisal
61
Comfortable Sound Levels
59
Receive Proper Assistive Devices
6
Information About Rights
40
Clean Bed Linens
12
Choice of Routine
53
Unopened Mail
20 Consideration
72
Confidentiality About Your Condition
56
Privacy in Treatment
17 Comfortable Temperature Levels
64
Sexuality
70
Vote
42
Telephone
Privacy
73
Written Notice of Right to Appeal
8
Discharge Planning
41
Information abouy Ombudsman
62
Religious Freedom
16
Private Communication
50
Only Certain reason for Transfer
21
Dental Services
26
Examine
Survey Results
24
Examine Records
37
Good Social Services
5
Notice Before Discharge
49
Nutritional Meals
2
Safe Environment
35
Refuse Medication or treatment
33
Security for personal Belongings
22
Trained Nurses Aids
74
Name of and How to Contact Physician
14
Participate in Community Activities
15
Freedom from Physical Restraints
38
Have Personal Possessions
4
Have Visitors
55
Freedom from Verbal Abuse
46
Life Safety
25
Raise Concerns
1
Adequate Lighting
48
Married Couple Sharing a Room
