What must residents receive before significant changes in RCFE operations?

Residents must receive a written notice before any significant changes in RCFE operations because this ensures that all residents are formally informed of the changes in a clear and documented manner. Written notices provide a reliable record of communication and give residents the opportunity to understand the implications of such changes, ask questions, or raise concerns. This written documentation is crucial for maintaining transparency and trust between the facility management and the residents. It also supports the residents' right to be informed about how their living environment may be affected, allowing them to advocate for their needs and preferences.

While verbal announcements and other forms of communication are important, they may not provide the same level of clarity or permanence as a written notice. A public forum invitation may allow for discussion but does not ensure that every resident is adequately informed individually. A detailed email, while possibly useful, may not reach all residents, especially those who may not have regular access to email or internet services. Thus, the requirement for a written notice effectively safeguards the residents’ right to be adequately informed and engaged concerning their living situation within the facility.