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.
Based on record review and staff interviews, the facility did not permit a resident to remain in the facility and not discharge the resident from the facility without meeting the proper criteria for 1 of 3 sampled residents (R33).
On [DATE], R33 was returning from pass after being placed under an involuntary protective custody from law enforcement at a detoxification center. R33 called the facility with his desire to return prior to his return. The facility failed to allow R33 to return despite R33's history of leaving on pass and know history of alcohol use/abuse. The facility discharged R33 without a valid reason to an unsafe place of homelessness. The facility does not know where R33 is residing. …
D · No harm, potential for more than minimal, isolatedApril 14, 2025
Based on interview and record review, the facility failed to permit a resident to return to the facility following a hospitalization for 1 of 1 sampled resident (R11) and 1 of 1 supplemental residents (R55) reviewed.
R11 was not permitted to return to the facility following an emergency facility-initiated transfer to the hospital. The facility discharged R11 and stated they would not allow R11 to return.
R55 was not permitted to return to the facility following an emergency facility-initiated transfer to the hospital. The facility discharged R55 and would not allow R55 to return. It should be noted R55's guardian wished for R55 to return to the facility and R55 was pending Medicaid approval at the time of discharge. …
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