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.
F622 in Vermont. Pick another state for the same tag.
Against expectation — 2023
Vermont cites F622 more often than its own record predicts
Versus expected share2.18×
2.18 times the share F622 takes of citations nationally.
Share of Vermont citations0.55%
Of every deficiency written in Vermont in 2023, this is the portion that was F622.
Vermont0.55%
National0.25%
Share of all citations that were F622.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Vermont surveyors wrote
F622 findings written in Vermont, 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.
J · Immediate jeopardy, isolatedMay 1, 2019
Based on record review, staff and resident interview, the facility failed to permit 1 of 4 residents sampled (Resident #1) to remain in the facility, and not transfer or discharge. Findings include:
Per record review and staff interviews on 4/29-30/19, the facility alleged that there was a resident initiated AMA (against medical advice) discharge on 4/24/19. This was confirmed by the administrator and Director of Nursing (DNS) on 4/30/19 at 9:00 AM, based on the signature of Resident #1 on an AMA document, signed at 1:00 PM on 4/24/19, and verbal expression of desire to leave the facility during an Interdisciplinary Team (IDT) meeting just prior (per Social Services notes of 4/24/19 and interview on 4/29/19 at 12:30 PM). …
Based on interview and record review the facility did not ensure a resident's discharge was completely assessed, evaluated, and documented for 1 of 1 [Resident #1] residents who were involuntarily discharged from the facility.
The facility initiated Resident #1's discharge based on the facility's inability to meet the resident's needs and because the behavioral status of the resident endangered the safety of other individuals in the facility. However, upon complaint investigation, it was determined by interview and record review that, while Resident #1 had challenging aggressive behavior requiring staff attention, s/he did not have needs which could not be met in that facility, and there was evidence that the facility was caring for other residents with aggressive behaviors. …
D · No harm, potential for more than minimal, isolatedNovember 1, 2023
Based on interviews and record review the facility failed to permit each resident to remain in the facility, and not transfer or discharge the resident from the facility without ensuring documentation in the resident's medical record of the danger that failure to transfer or discharge would pose. Additionally, the facility failed to document in the resident's medical record communication with and the provision of required information to the receiving provider by the resident's physician for 1of 2 residents sampled (Resident's # 56) Findings include:
Resident #56 was transferred on 10/3/23 with the intent to be discharged and not readmitted . Resident #56 was admitted from home 16 days prior to being transferred and discharged to the local acute care hospital. …
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