Based on record review and interview during the abbreviated survey (NY00322098 and NY00323044) the facility failed to provide and document sufficient preparation and orientation to residents to ensure safe and orderly transfers or discharges from the facility for 2 of 3 residents reviewed (Residents #1 and 2). On 9/11/2023, immediate jeopardy was identified during an abbreviated complaint survey. Concerns rising to the level of immediate risk to resident health and safety include the provider's failure to provide a safe and orderly discharge for Residents #1 and 2 which had the potential for serious harm for both residents. …
Based on record review and interview during the abbreviated survey (NY 477) conducted on [DATE], the facility failed to provide and document sufficient preparation and orientation to residents to ensure safe and orderly transfer or discharge from the facility in a form and manner that the resident can understand for 1 of 3 residents reviewed (Resident #1). Specifically, Resident #1, who lacked medical decision-making capacity and was non-English speaking, was discharged without a representative present, and their medications were not reviewed or verified at the time of discharge. Resident #1 was discharged with a supply of medications that were ordered for Resident #2. …
D · No harm, potential for more than minimal, isolatedFebruary 23, 2024
Based on record review and interview during the abbreviated survey (NY00312672), the facility did not provide and document sufficient preparation and orientation to residents to ensure safe and orderly transfer or discharge from the facility for 1 of 6 residents (Resident #6) reviewed. Specifically, Resident #6 was discharged without a documented discharge plan. Additionally, there were recommendations for equipment and post-discharge services there were not established by the facility prior to discharge.
Findings include:
The Discharge Planning policy revised 12/2019 documented the facility will develop a comprehensive discharge plan for all residents being discharged . …
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