Based on interviews, record review, and review of the facility's policies, it was determined the facility failed to ensure each resident or the resident's representative received adequate notice before transfer or discharge for four out of five residents (Resident (R) 3, R4, R13, and R14). The facility initiated a transfer/discharge based on the facility's inability to meet the resident's needs. However, upon complaint investigation, it was determined by interview and record review that the transfer/discharge was due to the facility needing to move the residents out of their rooms to make space for a new rehabilitation unit. Residents 3, R4, and R13 were selected based on their least likely to have a connection with the community. …
F623 citations in Kentucky
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
Kentucky cites F623 more often than its own record predicts
3.08 times the share F623 takes of citations nationally.
Of every deficiency written in Kentucky 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 Kentucky surveyors wrote
F623 findings written in Kentucky, 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 interview, record review, and review of the facility's policies, the facility failed to notify the State Guardian and a representative from the Office of the State Long-Term Care (LTC) Ombudsman of its intentions to discharge a resident and the reasons for the discharge in writing for 1 of 27 sampled residents, Resident (R) 219. R219 was transferred to a Behavioral Health (BH) facility on 11/02/2024 from the facility for a psychiatric evaluation. On 11/11/2024, the Discharge Planner (DCP) at the BH facility notified the State Guardian that after discussions with the facility, the facility would not be accepting R219 back. The facility did not communicate this with the State Guardian or obtain the approval of the State Guardian. …
Based on interview, record review and review of facility policy, it was determined the facility failed to ensure a written notice of transfer/discharge, which included the reason for the resident's transfer, was sent to a representative of the Office of the State Long-Term Care Ombudsman for three (3) of seventeen (17) sampled residents (Residents #51, #34, and #40). Record review for Residents #51, #34, and #40, revealed no documented evidence a representative of the Office of the State Long-Term Care Ombudsman was notified of the resident transfers. The finding include: Review of the facility policy titled, Transfer Discharge, not dated, revealed a copy of the discharge/transfer notice shall be provided to a representative of the Office of the State Long-Term Care Ombudsman. 1. …
The short window
Recent years
| Year | Share of Kentucky citations | vs expected |
|---|---|---|
| 2023 | 0.93% | 1.02× |
| 2024 | 1.05% | 1.03× |
| 2025 | 1.26% | 3.08× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Kentucky surveyors cite →
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