Most hospitals and health care facilities such as nursing homes and home health care agencies are required to observe the following patient's rights: Give you a written summary of your health care decision-making rights at the time of admission. Ask you if you have advance directives and document that fact in your medical record. However, it is up to you to give them a copy of your advance directives. Never require that you have or not have advance directives or discriminate against you based on whether you have them or not. Make the facility's policies available regarding recognizing advance directives.