Patient Rights and Responsibilities

1. Right to Be Informed

• You have the right to receive accurate, easily understood information about your home health care agency, services, and caregivers.
• You have the right to receive all information in a language you understand. If you need an interpreter, we will provide one.
• You have the right to be informed about your diagnosis, treatment options, and expected outcomes in terms you can understand.
• You have the right to receive written notice of your rights and responsibilities before care begins.

2. Right to Choose and Participate

• You have the right to choose your home health care provider. You are not required to use any particular agency.
• You have the right to participate in the development and revision of your plan of care. Your preferences, goals, and concerns should be considered.
• You have the right to refuse treatment or services. Your caregiver will explain the consequences of refusing care, but the decision is yours.
• You have the right to have your family or representative participate in care decisions when appropriate and with your consent.

3. Right to Respect and Dignity

• You have the right to receive care that is respectful of your personal values, beliefs, and preferences.
• You have the right to be treated with courtesy, dignity, and respect by all staff members.
• You have the right to be free from physical, verbal, mental, and emotional abuse, neglect, and exploitation.
• You have the right to receive care without discrimination based on race, color, national origin, religion, sex, age, sexual orientation, disability, or source of payment.

4. Right to Privacy and Confidentiality

• You have the right to privacy during care. Your personal privacy will be respected during all visits.
• You have the right to confidentiality of your medical record and personal information. Information will only be shared as required for your care or as permitted by law.
• You have the right to access your medical records and request corrections. You may receive copies of your records upon request.
• You have the right to know how your personal health information may be used and disclosed.

5. Right to Safety and Quality

• You have the right to receive safe, quality care provided by qualified professionals.
• You have the right to be informed about any experimental treatments or research projects that may affect your care.
• You have the right to refuse participation in any research or experimental treatment without affecting your access to care.
• You have the right to have your property treated with respect.

6. Right to Voice Concerns

• You have the right to express concerns, complaints, or grievances about your care without fear of retaliation.
• You have the right to receive a timely response to your concerns and have them resolved.
• You have the right to contact state and federal agencies, including the California Department of Public Health and the Medicare hotline, if you believe your rights have been violated.
• You have the right to know how to file a complaint and receive contact information for relevant agencies.

7. Right to Information About Services and Costs

• You have the right to receive information about the scope of services the agency will provide and any limitations.
• You have the right to be informed of expected costs, charges, and payment requirements before care begins.
• You have the right to receive information about your insurance coverage, including what is covered and what you may owe.
• You have the right to receive an itemized bill upon request.

First Bell Home Health Care

Contact us directly to discuss any concerns about your care.

Phone: (747) 241-8211

Email: info@firstbellhomehealth.com

California Department of Public Health

For complaints about home health agency services in California.

Phone: 1-800-547-6339

Website: www.cdph.ca.gov

Medicare Beneficiary Ombudsman

For Medicare-related complaints or questions about coverage.

Phone: 1-800-633-4227 (1-800-MEDICARE)

Website: www.medicare.gov

Accreditation Commission for Health Care (ACHC)

Our accrediting organization accepts complaints about accredited agencies.

Phone: 1-855-837-9776

Website: www.achc.org