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hello and welcome to todays webinar on nursing home discharge and transfer procedures id like to begin by providing a basic definition for the terms discharge and transfer ing to the centers for medicare and medicaid state operations manual interpretive guide discharge refers to moving the resident to a non-institutional setting when the releasing facility ceases to be responsible for the residents care the term transfer refers to moving the resident from the facility to another legally responsible institutional setting in this presentation ill use the term discharge to loosely refer to both transfer and discharge lets begin by talking about the legal basis for discharge there are only seven situations in which discharge is proper the first situation is when a residents needs cannot be met at the nursing home which basically means that a transfer or discharge is necessary for the residents welfare an example of this scenario would be that there is a resident with progressing dem