Based on record review and interview the facility failed to notify the court appointed guardian of Resident #141's discharge to the community. This affected one of three residents reviewed for discharge from the facility. This failure resulted in actual harm when the guardian was unable to locate the resident and filed a missing person's report. When located, Resident #141 was disoriented and confused and required transportation to local hospital for evaluation where she was admitted and remained at the time of the survey. The facility census was 113. Findings Include: Review of Resident #141's closed medical record revealed Resident #141 had [DIAGNOSES REDACTED]. …
F623 citations in Ohio
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
Ohio cites F623 less often than its own record predicts
0.61 times the national share — cited less often here than elsewhere.
Of every deficiency written in Ohio 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 Ohio surveyors wrote
F623 findings written in Ohio, 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 review of the medical record, staff interview, resident representative review, and policy review, the facility failed to ensure a notice of transfer or discharge was provided to residents. This affected two (#90 and #9) of three residents reviewed for transfer and discharge notices. The facility census was 89. Findings include: 1. Review of the closed medical record for Resident #90 revealed an admission date of 12/10/24, a readmission date of 02/05/24, and a discharge date of 04/01/25. Diagnoses included subdural hemorrhage, intracranial injury, hypotension, generalized anxiety disorder, and difficulty walking. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #90 had impaired cognition. Review of a nurse's note dated 04/01/25 at 5:11 P.M. …
2. Review of the medical record for Resident #43 revealed an admission date of 11/23/24 and a discharge date of 12/21/24. Diagnoses included acute respiratory failure with hypoxia, pulmonary hypertension, chronic systolic and diastolic congestive heart failure (CHF), chronic obstructive pulmonary disease (COPD), atrial fibrillation, dependence on machines and other devices, diabetes mellitus, and chronic kidney disease. Review of the admission Minimum Data Set (MDS) 3.0 completed on 11/29/24 revealed Resident #43 had intact cognition and medically complex conditions. Review of the orders revealed a physician order dated 12/20/24 to send Resident #43 to the emergency room (ER) for further evaluation and treatment. …
The short window
Recent years
| Year | Share of Ohio citations | vs expected |
|---|---|---|
| 2023 | 0.93% | 1.03× |
| 2024 | 0.53% | 0.52× |
| 2025 | 0.25% | 0.61× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Ohio surveyors cite →
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