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Considerations for Care and Services for LGBTQ+ Residents

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The provision of care and services offered by nursing homes must be individualized and person-centered, and equally and universally applied to all residents including those who identify as transgender or gender diverse (TGD). Furthermore, as a condition of licensure, the nursing home must remain in compliance with federal, state, and local laws and professional standards, which includes requirements of nondiscrimination.  The areas of consideration in this resource document provide nursing homes with suggestions for 1. Policies and procedures, 2. Resident rights, 3. Admitting and collection of gender identity data, 4. Staff education, 5. Resident education, and 6. Resident room placement and bathroom considerations. While these areas of consideration are limited to specific topics and are not all inclusive of areas a nursing home should consider when developing policies and procedures or best practices related to providing care and services for LGBTQ+ older adults, they do provide a framework for discussion and practice. All considerations should be used in conjunction with the inclusion of federal and state laws, legal counsel, and ethics committee feedback. 

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