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 Hawaii. Pick another state for the same tag.
Against expectation — 2025
Hawaii cites F623 more often than its own record predicts
Versus expected share2.49×
2.49 times the share F623 takes of citations nationally.
Share of Hawaii citations1.02%
Of every deficiency written in Hawaii in 2025, this is the portion that was F623.
Hawaii1.02%
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 Hawaii surveyors wrote
F623 findings written in Hawaii, 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.
G · Actual harm, isolatedSeptember 22, 2022
Based on observation, interview and record review, the facility failed to obtain a signature on the Notice of Medicare Non-Coverage(NOMNC) notice to Resident 2 (R2). As a result of this deficient practice, an unsafe discharge resulted with R2. An incomplete NOMNC with resident and/or responsible party may indicate disagreement, and/or lack of understanding of the requirements of the NOMNC notice.
Findings include:
R2 had an above the knee amputation in July of 2022. R2 lives alone and has a bed on the floor at home. …
E · No harm, potential for more than minimal, patternFebruary 21, 2025
4) R65 was first admitted to the facility on [DATE] for long-term placement. Review of R65's EHR revealed that on 10/18/24, R65 was transferred to an acute care facility for a higher level of care. Documentation of facility sending a written notification of discharge to the LTCO was not found in the EHR.
On 02/19/25 at 03:26 PM, requested a copy of written notifications of discharge for all four residents from the Director of Nursing (DON). Documents were submitted for review on 02/20/25.
On 02/20/25 at 11:16 AM, review of the documents submitted revealed that the LTCO was not notified of the discharges until 02/19/25.
On 02/20/25 at 02:20 PM, concurrent record review and interview was conducted with DON in her office. …
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