60 The following patient rights and responsibilities are presented to the patient and family in the spirit of mutual trust and respect. Mission Statement: Four Seasons’ mission is to co-create the care experience. Patient Rights PATIENT RIGHTS & RESPONSIBILITIES 23. To be notified within 10 days
1. To exercise my rights as a pa- tient of Four Seasons. 2. To be free from discrimination or reprisal for exercising my rights. 3. To be informed of and partici - pate in my plan of care. 4. To have my property and per- son treated with respect, con- sideration, and dignity, with full recognition of my individu - ality and right to privacy. 5. To receive care and services that are adequate, appropriate, and in compliance with rel- evant Federal and State laws and rules and regulations. 6. To be informed of the process for acceptance and continu - ance of service and eligibility determination. 7. To receive effective pain man - agement and symptom control from Four Seasons. 8. To have my Advance Direc- tives honored as permitted by local, state, and federal law. 9. To accept or refuse services, care, or treatment, and be in- formed about the consequenc- es of such action. 10. To choose my attending medi - cal provider. 11. To receive a copy of Four Sea- sons’ Notice of Privacy Practic - es describing my privacy rights.
12. To have my personal and medi- cal records kept confidential, disclosed only with appropri- ate written consent or in ac - cordance with the Notice of Privacy Practices. 13. To inspect and copy my health information in accordance with the Notice of Privacy Practices. 14. To be informed of the agency’s on-call service. 15. To be informed of supervisory accessibility and availability. 16. To be advised of the agency’s procedures for discharge. 17. To receive a timely response to my reasonable requests of the agency. 18. To receive a written statement of services provided by the agency and any charges I may be liable for paying. 19. To receive information about the services covered under the hospice benefit. 20. To receive information about the scope of services Four Sea- sons will provide and specific limitations on those services. 21. To receive health teaching and education in a language or form that I can reasonably be expected to understand. 22. To be involved in resolving eth- ical issues or conflicts about care or service.
when the agency’s license has been revoked, suspended, can- celed, annulled, withdrawn, re- called, or amended. 24. To be advised of the opportu- nity to request a copy of the agency’s policies regarding pa - tient rights or responsibilities. 25. To voice grievances regarding treatment or care that is (or fails to be) furnished and the lack of respect for property by anyone who is furnishing services on behalf of Four Sea- sons, and not be subjected to discrimination or reprisal for doing so. 26. To receive care without regard to race, color, ethnicity, nation - al origin, religion, age, sex, sex- ual orientation, gender identity, genetic information, disability, veteran status, socioeconomic status, type of illness, or ability to pay. 27. To be advised of the address and telephone number for in- formation, questions, or com - plaints about services provided by the agency. 28. To be advised of the address and telephone number of the section of the Department of Health and Human Services re- sponsible for the enforcement of the provisions of this part as well as the Joint Commission accrediting organization.
FourSeasonsCare.org
866.466.9734
Four Seasons
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