Based on observation, closed medical record review, staff interview, family interview, United Health Care (UHC) transportation representative interviews, review of accuweahter.com information and review of the facility policy and procedures titled Discharge Summary and Plan and Discharge Medications, the facility failed to ensure a safe and orderly discharge for one resident (Resident #76), who had diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . This resulted in Immediate Jeopardy, on 06/07/22 at approximately 5:00 P.M. when the facility arranged for transportation for Resident #76 to be taken to another long-term care facility for long term care placement. …
F622 citations in Ohio
Transfer and discharge · Resident Rights Deficiencies
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Ohio cites F622 less often than its own record predicts
0.53 times the national share — cited less often here than elsewhere.
Of every deficiency written in Ohio in 2025, this is the portion that was F622.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Ohio surveyors wrote
F622 findings written in Ohio, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
Based on record review, interview, and policy review, the facility failed to provide Resident #67 a safe discharge and failed to provide the resident or resident representative with required documentation upon discharge. This affected one resident (#67) of one resident reviewed for discharge. The facility census was 65 residents. Actual Harm occurred on 03/16/24 (four days after admission), when Resident #67, who was admitted with primary diagnosis of post-surgical hip repair, was immediately discharged without a safe place to be discharged to, after being observed in the facility parking lot on one occasion smoking and taking sips of alcohol. …
Based on interview and record review the facility failed to ensure Resident #85's discharge from the facility was appropriately documented. This affected one Resident #85 of five residents reviewed for hospitalization. The facility census was 81. Findings include: Review of Resident #85's medical record revealed an admission date of 01/27/25 and a discharge date of 01/28/25 diagnoses included metabolic encephalopathy, heart failure, severe protein-calorie malnutrition, type two diabetes mellitus, and chronic kidney disease. Review of Resident #85's progress note dated 01/27/25 revealed the resident admitted to the facility around 5:30 P.M. Review of Resident #85's progress note dated 01/28/25 at 11:14 A.M. …
The short window
Recent years
| Year | Share of Ohio citations | vs expected |
|---|---|---|
| 2023 | 0.29% | 1.17× |
| 2024 | 0.31% | 0.95× |
| 2025 | 0.06% | 0.53× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Ohio surveyors cite →
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