Surprised by a nursing-home discharge notice?
A nursing home can't move a resident out without stated grounds, written notice, and a right to appeal — and every state publishes those rules. Room & Recourse puts them on one page per state, quoted word for word from the official sources, dated, and linked to the originals: the permitted grounds, the notice you're owed, where the appeal goes, bed-hold, and the ombudsman whose job is this exact situation.
No facility, agency, or law firm is behind this site, and it determines nothing about any case — it points to the sources and keeps the record of what they said, and when.
One page per state, in the agencies' own words
Each page opens with the same docket: the grounds for involuntary transfer or discharge as the state's own materials state them, the notice the state says a resident is owed, the office that hears the appeal and the published filing route, the state long-term-care ombudsman's published contact, and the date the sources were last checked. Then the grounds in full, the published process, and every stated notice period and deadline — each one a verbatim quotation with the source linked beside it, and a change log recording what was captured and when.
These are potentially relevant official sources, not a determination that any notice, ground, or deadline applies to any situation; confirm applicability with the agencies themselves. Every deadline on every page is quoted from the sources, never calculated for a particular case.
The provisions families find last
Every state page opens its process section with the same three rows, because they are the questions a facility's counsel answers in the first fifteen minutes and a resident's family almost never finds alone. Where the appeal goes, by what route, and by what stated deadline — including, where the state says so, the statement that a timely appeal means the resident stays put while it is heard. What the notice itself must contain, as the state states it — many states require the notice to carry the appeal instructions and the ombudsman's contact. And what the state publishes about bed-hold during a hospital stay and readmission afterwards. Each row quotes the state's own published documents, word for word, with the source linked beside the quotation — and where a state publishes nothing on a question, the row says so plainly, because an absence you know about is worth more than a guess.
The state's own rules, over a federal floor
For every Medicare- or Medicaid-certified nursing facility, federal regulation sets a floor: six enumerated grounds, thirty days' notice with stated exceptions, required notice contents, a hearing right, and bed-hold notice rules. Those materials — 42 CFR 483.15, the fair-hearing rules at 42 CFR part 431, and CMS's own surveyor guidance — are quoted on a page of their own.
| Layer | Who publishes it | What its page holds |
|---|---|---|
| The state page | The state's own agencies — often three or four publishers before the licensure code is opened | The grounds, notice, hearing route, bed-hold, and ombudsman contact as this state's own materials state them |
| The federal floor | The eCFR and CMS | 42 CFR 483.15, 42 CFR part 431 subpart E, and the CMS State Operations Manual guidance, quoted with double dates |
Neither layer substitutes for the other. A state page quotes only that state's own statements; where state and federal materials publish different things, both are quoted, each on its publisher's own page, and the discrepancy is recorded as a numbered finding — reconciled nowhere, because reconciling it would be a determination, and determinations belong to the hearing office.
Jump straight to a state's page
26 state pages published — the full index. Click a state to go straight to its page; muted abbreviations aren't published yet.