Based on interview and record review the facility failed provide one of five sampled (Resident 1) with a written notice of discharge at least 30 days in advance with the reason for the discharge, the effective date of discharge, the location to which the resident is discharged , and the information about the resident ' s appeal rights, as indicated in the facility ' s policy on Transfer and Discharge. On 4/27/22, around 5 pm, after returning to the facility from conducting personal business and without prior notice, Resident 1 was discharged against medical advice (AMA) because the resident left and the physician (MD 2) had cancelled (discontinued) the order given earlier the same day to go out on pass (OOP, being temporarily absent from the facility). …
F623 citations in California
Notice before transfer or discharge · Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
California cites F623 less often than its own record predicts
0.71 times the national share — cited less often here than elsewhere.
Of every deficiency written in California in 2025, this is the portion that was F623.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What California surveyors wrote
F623 findings written in California, 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 observation, interview, and record review, the facility failed to ensure to notify four of six residents (Resident 1, 2, 3 and 4) regarding the transfer reasons when these four residents transferred from the long-term care Skilled Nursing Facility (LTC-SNF, refers as transferring SNF, LTC-SF: a nursing facility which provides 24-hours skilled nursing care for the residents who reside in the facility for a long term) to another long-term care SNF (refers as receiving SNF) even though these residents' needs, and services could be met at this transferring SNF. These residents did not endanger themselves or the other residents' safety in the transferring SNF. …
Based on interview and record review, the facility failed to follow its policy and procedure (P&P) titled, Transfer or Discharge, Facility-Initiated, when the facility did not send a notice of transfer to the Ombudsman (representatives who assist residents in long-term care facilities with issues related to day-to-day care, health, safety and personal preferences) for one of six sampled resident's (Resident 40). This failure had the potential to result in Resident 40 not having an advocate who could inform them of their admission, transfer, and discharge rights and options. Findings: During a review of Resident 40's, Hospital Transfer Form (HTF), [undated], the HTF indicated, Resident 40 was transferred to the hospital on 3/6/25 and 3/10/25. …
The short window
Recent years
| Year | Share of California citations | vs expected |
|---|---|---|
| 2023 | 0.72% | 0.80× |
| 2024 | 0.55% | 0.54× |
| 2025 | 0.29% | 0.71× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else California surveyors cite →
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