Based on record review and staff interview, it has been determined that the facility failed to notify the resident and the resident's representative(s) of a transfer or discharge and the reasons for the move in writing and in a language and manner they understand for 1 of 1 resident who was transferred to the hospital and discharged from the facility, Resident ID #1. Findings are as follows: Record review of a community reported complaint submitted to The Rhode Island Department of Health on 1/15/2025, alleged that Resident ID #1 was not permitted to return to the facility, and s/he was not given a 30 day notice, as required. Record review revealed that the resident was admitted to the facility in July of 2019 with diagnoses of violent behaviors and dementia. …
F623 citations in Rhode Island
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
Rhode Island cites F623 less often than its own record predicts
0.85 times the national share — cited less often here than elsewhere.
Of every deficiency written in Rhode Island 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 Rhode Island surveyors wrote
F623 findings written in Rhode Island, 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.
1. Record review revealed Resident ID #2 was transferred to the hospital on 2/6/2025, 2/14/2025 and 2/17/2025. Record review failed to reveal evidence that the Office of the State Long-Term Care Ombudsman was notified of the hospital transfers for Resident ID #2. 2. Record review revealed Resident ID #20 was transferred to the hospital on 3/5/2025. Record review failed to reveal evidence that the Office of the State Long-Term Care Ombudsman was notified of the hospital transfer for Resident ID #20. During a surveyor interview with the Director of Operations on 4/9/2025 at 9:33 AM, she acknowledged that the Ombudsman was not notified of the transfers for Resident ID #s 2 and 20.
The short window
Recent years
| Year | Share of Rhode Island citations | vs expected |
|---|---|---|
| 2024 | 0.44% | 0.43× |
| 2025 | 0.35% | 0.85× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Rhode Island 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