On November 20, 2020 a
Exhibit,Appendix
was filed
involving a dispute between
Lisa Masi
Individually And As The Proposed Administrator For The Estate Of Donald Masi,
and
David E. Marx,
Feldman-Medford Development, Llc,
Henry Rausman,
Martin Rausman,
Medford Multicare Management Company, Llc,
Michael Rausman,
Mordechai Klein,
Norman Rausman,
Rockhall Funding Corp.,
The Estate Of Abraham Klein,
The Estate Of Mendel Aschkenazi,
The Nursing Care Center At Medford, Inc., D B A Medford Multicare Center For Living, Inc.,
for Torts - Other Negligence (Public health law)
in the District Court of Suffolk County.
Preview
FILED: SUFFOLK COUNTY CLERK 12/30/2022 02:14 PM INDEX NO. 618130/2020
NYSCEF DOC. NO. 55 RECEIVED NYSCEF: 12/30/2022
EXHIBIT K
FILED: SUFFOLK COUNTY CLERK 12/30/2022 02:14 PM INDEX NO. 618130/2020
NYSCEF DOC. NO. 55 RECEIVED NYSCEF: 12/30/2022
RESIDENT / PATIENT RJGHTS
Itis thegoal of = facilittto ensurethat as a resident /patientof our facilityyou areafforded r nght m a
dignified existence. self-detemiination, respect. recognition of your individuality,considerati and pnvacy
intreatment and care forpersonal needs and communication with persons and services inside ed outside the
facility.
We will protect promote your rightsas a resident / patientof thisfacility.As a residen' patient.you
have:
1. The rightto be fully informed, orallyand in writing,of your rights.
2. The rightto be fully informed, orallyand inwriting of your responsibilitiesto the facility.
3. The rightto receive written copies of any change(s) in rulesand regulations that may affectyour rights.
obligations or responsibilities to thefacility.
4.The rightto be informed of services available to you and the relatedcharges for such services.
5. The rightto exercise your rightsas a resident / patientof the and
facility as a citizenor residentof the
United States.
6. The rightto be free of interference,coercion, discrimination or reprisalfrom the facilityin exercising
your rights.
1 The right to be fullyinformed of your totalhealth status, including your medical condition.
8. The rightto choose a personal attending physician.
9. The right to be informed of the name, specialty and way of contacting the physician responsible for
your medical care.
10. The right to refuseyour nursing care and medical treatment, and to refuse to participateinany
experimental research.
11. The right to have your family and physician promptly notifiedof significantchanges in
your medical condition and/or status.
12. The rightto be fully informed in advance of your medical care and treatment, and any changes in such
care and treatment.
13. The right to self-administer your drugs and medications.
14 The right to be freefrom physical or chemical restraints.
15. The right to be freefrom verbal, sexual, physical, or mental abuse, corporal punishment,
and involuntary seclusion.
16. The right to personal privacy.
FILED: SUFFOLK COUNTY CLERK 12/30/2022 02:14 PM INDEX NO. 618130/2020
NYSCEF DOC. NO. 55 RECEIVED NYSCEF: 12/30/2022
personal and recards
clinical
1K a ;whuse photocopies of your records.
I9.7 he iight toprivacy in receivingand written communications.
sending
20. 1he nght to have regular access to the privateuse of the telephone.
21. 1he rightto receive visitors at any time.
22. The rightto be notified of a change in your room assignment or roommate.
23. The rightto retainand use your personal possessions.
24. The rightto share with your spouse should both of you be a patient / residentin thefacility.
25. The rightto contact and receive information from agencies acting as clientadvocates.
26. The rightto filea grievance and/or complaint with the state
facility, survey and certificationagency.
Ombudsman or other advocates concerning abuse, neglect,or misappropriation of your personal
property.
27. The righttoexamine the most recent survey report and the facility'splan of correction.
28. The rightto manage your own financial affairs.
29. The rightto be informed of how to apply for and use Medicare and Medicaid benefits.
30. The rightto be informed of how to receive a refund for previous payments covered by Medicare and or
Medicaid.
31. The rightto be informed of the facility'sbed-holding policy.
26. The rightto receive a thirty(30) day notice before being transferred or discharged from the facility.
27. The rightto refuse to perform or not perform service forthe facility.
28. The rightto interactwith members ofthe community.
29. The rightto organize and participate in resident/ patient groups in the facility.
30. The rightto make choices about aspects of your lifein the facility.
31. The rightto choose activities,schedules and care consistent with your interests,assessments and
plan of care.
32. The rightto participate in social,religious and community activities.
33. The right to receive services with reasonable accommodation of individual needs and preferences.
-2-
Document Filed Date
December 30, 2022
Case Filing Date
November 20, 2020
Category
Torts - Other Negligence (Public health law)
For full print and download access, please subscribe at https://www.trellis.law/.
Preview
FILED: SUFFOLK COUNTY CLERK 12/30/2022 02:14 PM INDEX NO. 618130/2020 NYSCEF DOC. NO. 55 RECEIVED NYSCEF: 12/30/2022 EXHIBIT K FILED: SUFFOLK COUNTY CLERK 12/30/2022 02:14 PM INDEX NO. 618130/2020 NYSCEF DOC. NO. 55 RECEIVED NYSCEF: 12/30/2022 RESIDENT / PATIENT RJGHTS Itis thegoal of = facilittto ensurethat as a resident /patientof our facilityyou areafforded r nght m a dignified existence. self-detemiination, respect. recognition of your individuality,considerati and pnvacy intreatment and care forpersonal needs and communication with persons and services inside ed outside the facility. We will protect promote your rightsas a resident / patientof thisfacility.As a residen' patient.you have: 1. The rightto be fully informed, orallyand in writing,of your rights. 2. The rightto be fully informed, orallyand inwriting of your responsibilitiesto the facility. 3. The rightto receive written copies of any change(s) in rulesand regulations that may affectyour rights. obligations or responsibilities to thefacility. 4.The rightto be informed of services available to you and the relatedcharges for such services. 5. The rightto exercise your rightsas a resident / patientof the and facility as a citizenor residentof the United States. 6. The rightto be free of interference,coercion, discrimination or reprisalfrom the facilityin exercising your rights. 1 The right to be fullyinformed of your totalhealth status, including your medical condition. 8. The rightto choose a personal attending physician. 9. The right to be informed of the name, specialty and way of contacting the physician responsible for your medical care. 10. The right to refuseyour nursing care and medical treatment, and to refuse to participateinany experimental research. 11. The right to have your family and physician promptly notifiedof significantchanges in your medical condition and/or status. 12. The rightto be fully informed in advance of your medical care and treatment, and any changes in such care and treatment. 13. The right to self-administer your drugs and medications. 14 The right to be freefrom physical or chemical restraints. 15. The right to be freefrom verbal, sexual, physical, or mental abuse, corporal punishment, and involuntary seclusion. 16. The right to personal privacy. FILED: SUFFOLK COUNTY CLERK 12/30/2022 02:14 PM INDEX NO. 618130/2020 NYSCEF DOC. NO. 55 RECEIVED NYSCEF: 12/30/2022 personal and recards clinical 1K a ;whuse photocopies of your records. I9.7 he iight toprivacy in receivingand written communications. sending 20. 1he nght to have regular access to the privateuse of the telephone. 21. 1he rightto receive visitors at any time. 22. The rightto be notified of a change in your room assignment or roommate. 23. The rightto retainand use your personal possessions. 24. The rightto share with your spouse should both of you be a patient / residentin thefacility. 25. The rightto contact and receive information from agencies acting as clientadvocates. 26. The rightto filea grievance and/or complaint with the state facility, survey and certificationagency. Ombudsman or other advocates concerning abuse, neglect,or misappropriation of your personal property. 27. The righttoexamine the most recent survey report and the facility'splan of correction. 28. The rightto manage your own financial affairs. 29. The rightto be informed of how to apply for and use Medicare and Medicaid benefits. 30. The rightto be informed of how to receive a refund for previous payments covered by Medicare and or Medicaid. 31. The rightto be informed of the facility'sbed-holding policy. 26. The rightto receive a thirty(30) day notice before being transferred or discharged from the facility. 27. The rightto refuse to perform or not perform service forthe facility. 28. The rightto interactwith members ofthe community. 29. The rightto organize and participate in resident/ patient groups in the facility. 30. The rightto make choices about aspects of your lifein the facility. 31. The rightto choose activities,schedules and care consistent with your interests,assessments and plan of care. 32. The rightto participate in social,religious and community activities. 33. The right to receive services with reasonable accommodation of individual needs and preferences. -2-