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 Virginia. Pick another state for the same tag.
Against expectation — 2025
Virginia cites F623 more often than its own record predicts
Versus expected share1.88×
1.88 times the share F623 takes of citations nationally.
Share of Virginia citations0.77%
Of every deficiency written in Virginia in 2025, this is the portion that was F623.
Virginia0.77%
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 Virginia surveyors wrote
F623 findings written in Virginia, 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.
D · No harm, potential for more than minimal, isolatedMay 7, 2025
3. The facility staff failed to notify the ombudsman of Resident #90's transfer/discharge to a local hospital.
Resident #90's Minimum Data Set (MDS) assessment, with an Assessment Reference Date (ARD) of 1/26/25, was signed as completed on 1/29/25. Resident #90 was assessed as usually able to make self understood and as usually able to understand others. Resident #90's Brief Interview for Mental Status (BIMS) summary score was documented as a 15 out of 15; this indicated intact or borderline cognition.
Resident #90's clinical documentation indicated the resident was admitted to a local hospital on 1/26/25. …
B · No harm, potential for minimal, patternJanuary 6, 2022
Based on record review, interview, and policy review, the facility failed to ensure three of five residents (Resident (R) 7, R27, and R78) reviewed for hospitalization transfer and/or discharge, as well as the resident's representative (RR), received a written notice that explained the date, reason, place of transfer/discharge, and the right to appeal the transfer or discharge.
Findings include:
1. Review of R7's Admission Record from the electronic medical record (EMR) Profile tab, showed an original admitted [DATE], and a readmitted [DATE].
During an interview on 01/04/22 at 11:05 AM, R7 stated she had been sent to the hospital for chest pain in December and she came right back to the facility. …
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