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.
F623 in Delaware. Pick another state for the same tag.
Against expectation — 2025
Delaware cites F623 more often than its own record predicts
Versus expected share3.13×
3.13 times the share F623 takes of citations nationally.
Share of Delaware citations1.28%
Of every deficiency written in Delaware in 2025, this is the portion that was F623.
Delaware1.28%
National0.41%
Share of all citations that were F623.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Delaware surveyors wrote
F623 findings written in Delaware, 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.
D · No harm, potential for more than minimal, isolatedApril 17, 2025
Based on record review and interview, it was determined that for one (R79) out of five residents reviewed for hospitalizations, the facility failed to notify R79's responsible party in writing of the reason for transfer to the hospital. Findings include:
Review of R79's clinical record revealed:
11/6/20 - R79 was admitted to the facility, with diagnoses including but not limited to, dementia.
4/1/25 - R79's quarterly MDS documented a BIMS score as three, which reflected severe cognitive impairment.
4/5/25 9:38 PM (Saturday) - E9 (LPN) documented in R79's EMR progress note, .Resident vomited again a large amount of brown colored vomit. …
C · No harm, potential for minimal, widespreadApril 18, 2025
Based on interview, record review, and policy review, the facility failed to ensure one of four sampled residents reviewed for hospitalization (Resident (R) 162) and R162's representative were notified of the reasons in writing for R162's transfer to the hospital on [DATE]. Additionally, there was no evidence that the Ombudsman was notified of the transfer/discharge. This failure placed all residents at risk of not being informed of their appeal rights and process after they are discharged from the facility. …
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