In re Guardianship of D.C.Annotate this Case
At issue was the lawfulness of allowing a hospital to transfer a patient involuntarily to a skilled nursing facility in the absence of a guardianship. The Supreme Court held that the appointment of a guardian over an incapacitated person is necessary, but not by itself sufficient, to admit an incapacitated person to a nursing facility against his or her will, because such an admission requires an additional order by the court based on a specific finding that the admission is in the incapacitated person’s best interest.
Specifically, the Court held that when a hospital patient refuses to consent to be transferred to a nursing facility, a judge may order the patient to be admitted to a nursing facility under the Massachusetts Uniform Probate Code only if the judge (1) finds the patient to be an incapacitated person; (2) makes the other findings necessary to appoint a guardian under Mass. Gen. Laws ch. 190B, 5-306(b); and (3) then grants the guardian specific authority under Mass. Gen. Laws ch. 190B, 5-309(g) to admit the incapacitated person to a nursing facility after finding that such admission is in the incapacitated person’s best interest.