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.
Based on observation, record review and interviews, the facility failed to provide a discharge notice with the resident's signature for three (Resident #1, Resident #4, and Resident #5) out of three residents reviewed for admission, transfer and discharge rights. This has the potential to affect any of the 41 residents residing in the facility at the time of this survey.
Refer to F 622, F 639, F 689 and F 835.
The findings included:
1) Observation and interview with Resident #1 on 8/16/22 at 8:20 AM revealed the resident had just finished eating breakfast and was sitting in a wheelchair in her room. The resident's left leg was amputated above the knee and the right leg was in a protective boot. …
Based on record review, interviews, and facility Transfer and Discharge policy review, the facility failed to provide a 30-day notice of discharge for one (Resident #1) of 2 residents reviewed for facility-initiated discharges, from a total of 4 residents sampled. As a result of the swift discharge from what had become Resident #1's home, he experienced sadness, loss and regret, and had insufficient time to plan for discharge to another location that would meet his physical, emotional and psychosocial needs.
The findings include:
A closed record review for Resident #1 revealed he was admitted to the facility on [DATE] and was [AGE] years old. He was discharged on [DATE]. …
D · No harm, potential for more than minimal, isolatedApril 3, 2025
Based on record review and interview, the facility failed to ensure a transfer notice was provided to the resident and the resident representative for one (Resident #3) of three residents sampled for emergency transfers.
Findings included:
Review of Resident #3's admission Record showed he was originally admitted to the facility on [DATE] and most recently readmitted on [DATE].
Review of paperwork dated 02/02/2025 at 2:38 PM showed the Psychiatric Advanced Registered Nurse Practitioner (ARNP) completed involuntary examination documents for Resident #3 for schizoaffective disorder, resident's inability to determine whether examination is necessary, and a substantial likelihood that without care or treatment the individual will cause serious bodily harm to self or others. …
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction