{"ref":"CA-HSP-GOV-06","title":"Change of Ownership, Closure, Voluntary Cancellation and Records After Closure","category":"Governance","summary":"Covers what happens when the Agency changes hands or stops operating: the five-year bar on changes of ownership, the 120-day application and record storage statement, the 60-day closure notice to CDPH, CMS and accreditors, the discharge statement, safe transfer of every patient, the 24-hour notice to CDPH of where records are stored, and keeping records after closure for the full retention period (at least 10 years from each patient's most recent service).","inShort":["The owners may not give up control of the Agency until CDPH approves a change of ownership.","If the Agency plans to close, CDPH is told in writing at least 60 days ahead.","During a closure, every patient is helped to choose a new provider and keeps receiving care until the move is complete.","If the Agency stops operating suddenly, CDPH must be told within 24 hours where the medical records are stored.","Medical records are kept for at least 10 years after the patient's last service, even after a closure."],"primaryCitation":"22 CCR §74840","citations":["22 CCR §74824","22 CCR §74840","22 CCR §74896(b), (n), (o)","22 CCR §74892(w)","22 CCR §74800(a)(10), (41)","Cal. Health & Safety Code §1748(d)-(f)","Cal. Health & Safety Code §1749(f)(2)-(3)","Cal. Health & Safety Code §1754","Cal. Health & Safety Code §1756(a)"],"federalCitations":["42 CFR §489.52","42 CFR §418.104(d)","42 CFR §424.516(e)(1)","42 CFR §418.30"],"surveyorAsks":["Has this hospice changed ownership within five years of its first license? If so, show me CDPH's approval.","If you planned to close, how much notice would you give CDPH, and to whom else?"],"forms":[{"ref":"CA-HSP-GOV-06-A","title":"Notice to Patients and Families of Closure or Change of Ownership"},{"ref":"CA-HSP-GOV-06-B","title":"Medical Record Storage Statement"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (Health & Safety Code §1748(d)-(f); 22 CCR §§74824, 74840)","5. Change of Ownership","6. Planned Closure or Voluntary Cancellation","7. Caring for Patients During a Closure or Change","8. Unplanned Closure or Inoperability","9. Medical Records After a Closure or Change","10. After the License Ends","11. Responsibilities","12. Records and Compliance Monitoring","13. Staff Training","14. References","15. Related Policies and Forms","16. Approval","17. Revision History"],"version":"1.0","sample":false,"pack":"ca-hospice","state":"California","service":"Hospice","guides":[{"path":"/guides/hospice-policies/","h1":"What policies are required for hospice?"},{"path":"/guides/hospice-conditions-of-participation/","h1":"Hospice Conditions of Participation: which policies each one needs"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}