An 86-year-old male admitted for appendectomy is being discharged to a nursing care facility. He has been diagnosed with depression during this hospitalization
According to the Omnibus Reconciliation Act (OBRA), regarding placement of clients in long-term care (LTC) facilities, which of the following statements is accurate?
A) He may be placed into an LTC facility if there is an open bed.
B) He must go home to recover prior to placement in an LTC facility.
C) He must be placed in an inpatient psychiatric–mental health acute care facility until his depression has resolved.
D) He may not be placed into a long-term nursing care facility at this time because he is diagnosed with a psychiatric disorder.
Ans: D
OBRA of 1987 stated that an LTC care facility must not admit, on or after January 1, 1989, any new resident needing active treatment for mental illness or mental retardation. A screening document called the Preadmission Screening and Annual Resident Review (PSARR) determines whether the client needs active psychiatric treatment.
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