Based on interview and record review, the facility did not provide and document sufficient preparation to 2 of 40 sampled residents to ensure safe and orderly transfer or discharge from the facility. Specifically, one resident with cognitive impairment was discharged to a hotel room, but was subsequently seen at a local emergency room after becoming lost. This resulted in a finding of harm. In addition, one resident left on a leave of absence, and was not oriented for discharge upon return to the facility. Resident identifiers: 94 and 97. Findings include: HARM 1. Resident 94 was admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses that included Wernicke's encephalopathy, dementia, major depressive disorder, other amnesia, and history of traumatic brain injury (TBI). …
F624 citations in Utah
Resident Rights Deficiencies
Prepare residents for a safe transfer or discharge from the nursing home.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
Utah cites F624 more often than its own record predicts
2.92 times the share F624 takes of citations nationally.
Of every deficiency written in Utah in 2024, this is the portion that was F624.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Utah surveyors wrote
F624 findings written in Utah, 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 and record review, the facility did not provide and document sufficient preparation to 1 of 65 sampled residents to ensure a safe and orderly transfer or discharge from the facility. Specifically, one resident with cognitive impairment signed out of the facility against medical advice and was subsequently imprisoned and charged with criminal trespassing. Resident identifier: 419. Findings Included: Resident 419 was admitted to the facility on [DATE] and discharged on [DATE] with diagnoses of metabolic encephalopathy, schizophrenia, psychological and behavioral factors, and polydipsia. Resident 419's medical record was reviewed on 11/13/24. …
What else Utah surveyors cite →
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