ROOM & RECOURSE

Mississippi

Grounds stated in the sources
The health department's licensure standard, Rule 45.17.2(4), states them as a resident right: the resident "Is transferred or discharged only for medical reasons, or for his welfare or" "that of other residents, or for nonpayment for his stay (except as prohibited by" "sources of third-party payment)". The Division of Medicaid's rule states no grounds; it states instead four circumstances in which the thirty-day notice may be shortened. Neither captured source enumerates grounds the way the federal regulation does.
Notice stated in the sources
Mississippi's two publishers state two different periods. The licensure standard requires that the resident "is given a two week advance notice in" "writing to ensure orderly transfer or discharge. A copy of this notice is" "maintained in his medical record". The Division of Medicaid's Rule 2.20 requires that "The notice of transfer or discharge must be given at least thirty (30) calendar days prior to" "the transfer or discharge unless:" the safety or health of individuals in the facility would be endangered, "The resident no longer requires the level of care provided by the nursing facility,", an immediate move "is required by the resident's urgent medical" "needs, or" "The resident has not resided in the nursing facility for thirty (30) calendar days." Both are quoted as published. On contents, only the Medicaid rule speaks: the notice "must be written, easily understood and include the following information:" the reason, "The effective date of the transfer or discharge,", the location, "A statement that the resident has the right to appeal the action to the appropriate state" "authorities,", "The name, address and telephone number of the State long-term care ombudsman,", and, for residents with developmental disabilities or mental illness, the mailing address and telephone number of the responsible protection and advocacy agency.
Hearing office in these sources
Not stated in the sources reviewed. The Medicaid rule requires the notice to carry "A statement that the resident has the right to appeal the action to the appropriate state" "authorities," and names none. The licensure standard states no appeal at all. The ombudsman programme states that "When a resident has been asked to leave a long-term care facility, federal law provides the right to appeal." and directs the reader onward — "For additional information relating to the hearing process, please visit the Mississippi Division of Medicaid website." — without stating the office, the deadline or the form. No captured source names a Mississippi forum for a discharge appeal.
Ombudsman in these sources
The State Long-Term Care Ombudsman, in the Department of Human Services, which lists "Discharge and eviction" among what the ombudsman can help with and states that residents have the right to "Appeal a discharge or transfer." Its published contact: "Call the Mississippi statewide Long-Term Ombudsman Help Line: 1-888-844-0041." The programme also states the notice rule in its own words — "The notice must be given at least 30 days before the planned discharge date." — and that the facility "must give a written notice to you, your representative and the Ombudsman program."
Sources last checked
2026-08-30

Reproduced from the agencies' own pages and documents quoted below — potentially relevant official sources, not a determination that any notice, ground, or deadline applies to any situation.

LedeWhat this page holds

Lede

This page assembles what Mississippi's own publishers state about transfer and discharge from a nursing facility. It is a baseline page: the docket rows and the source map are built; the grounds section and the published-process section are not yet written, as the change log records. Three publishers speak here and none of them speaks completely. The health department's licensure standards state the grounds and a two-week notice; the Division of Medicaid's Rule 2.20 states a thirty-day notice, its exceptions and the notice's seven required contents; the ombudsman programme states the thirty-day rule in plain words and points onward to Medicaid for the hearing. Mississippi's vocabulary is transfer or discharge, and the Medicaid rule's own heading is facility initiated discharges.

Two things a reader should see at once. The two periods do not match — two weeks in the licensing rule, thirty calendar days in the Medicaid rule — and nothing in either document reconciles them. And the appeal has no address: the Medicaid rule requires the notice to state a right to appeal "to the appropriate state" "authorities," without saying which, and the ombudsman page refers the reader to the Division of Medicaid's website rather than to a named office or a deadline. The federal floor for Medicare/Medicaid-certified facilities is assembled separately on [the federal page](../federal.html); nothing here fills a gap from federal law or another state. Confirm applicability with the agencies named in the sources: whether any provision applies to a particular facility, resident, or notice is for the hearing office to determine. Deadlines and periods on this page are quoted from the sources, not calculated for any case.

03Source map

Source map

DocumentPublisher and locationSource's own dateRetrieved
Chapter 45, Minimum Standards for Institutions for the Aged or Infirm — Rule 45.17.2, Residents' RightsMississippi State Department of Health (PDF)none stated in the captured span2026-08-30
Title 23 Part 207, Institutional Long Term Care Services — Rule 2.20, Facility Initiated DischargesMississippi Division of Medicaid (PDF)effective 8.1.26; rule history New Rule eff. 09/01/192026-08-30
Long-Term Care OmbudsmanMississippi Department of Human Servicesnone stated on page2026-08-30

Captured: all three, in tools/packets/mississippi-packet.txt. Pending: Miss. Code Ann. § 43-11-13, the Division of Medicaid's fair-hearing rule, any statement of a bed-hold period, and the health department's facility complaint page — per the packet's pending list.

04Change log

Change log

2026-08-30 — Baseline page built from the first Mississippi packet: docket, lede, source map, change log. Not yet captured or written: section 01 (the grounds, as Mississippi describes them) and section 02 (the published process, including the notice's required contents in full, bed-hold and return, and the notice-periods register). Findings: (1) Mississippi publishes two different notice periods for the same event: two weeks in the health department's licensure standard at Rule 45.17.2(4), and thirty calendar days in the Division of Medicaid's Rule 2.20. Both are quoted as published; neither document acknowledges the other, and this page reconciles nothing. Oklahoma is the only other state built so far with a conflict of this kind inside its own materials. (2) No captured Mississippi source names the office that hears a discharge appeal. The Medicaid rule requires the notice to state a right to appeal to "the appropriate state" "authorities," and stops; the ombudsman page sends the reader to the Division of Medicaid's website without naming a rule, an office or a deadline. The hearing row states that absence rather than filling it. (3) The licensure standard states the grounds as a resident right rather than as a rule addressed to the facility, and states no required contents for the notice at all. (4) The Medicaid rule's fourth shortening circumstance — that the resident has not resided in the facility for thirty calendar days — has no counterpart in the licensure standard, which admits no exception to its two weeks. (5) The department's own ombudsman URLs under /divisions-programs/ and /aging-adult-services/ return 404 after a site rebuild; the live page is at /ombudsman/, and the packet records both so a later session does not read the 404 as a removed programme. (6) The ombudsman page states that the facility must give the notice to the ombudsman programme as well as the resident, which neither regulation in this packet states. (7) No first-party statement of a Mississippi bed-hold or temporary-leave period was captured. Capture pending: per the source map. Internet Archive: not yet submitted. Reviewer: Carrie Schluter, reviewed 2026-08-30. Corrections: hello@fieldassembly.net.