Based on interview and record review, the facility failed to permit 1of 3 sampled residents (R33) of a total sample of 33 residents reviewed to return to the facility after a pass that was for treatment.
R33 was not allowed to return to the facility after R33 was out on pass. R33 was placed on an involuntary protective custody in a treatment center for 72 hours after being found on the street intoxicated. R33 called the facility 4 times to ensure his bed would be available and returned to the facility to be informed he did not have his bed and was discharged to a homelessness.
The facility's failure to allow R33 to return to the facility after out on a pass created a finding of an IJ (Immediate Jeopardy) that began on [DATE]. …
D · No harm, potential for more than minimal, isolatedApril 14, 2025
Based on interview and record review, the facility failed to permit 1 of 1 sampled resident (R11) and 1 of 1 supplemental residents (R55) reviewed for facility-initiated discharge to return to the facility after a hospitalization and the ability to return to the facility.
R11 and R55 were not allowed to return to the facility following an emergency facility-initiated transfer to the emergency room. The facility stated they would be discharging R11 and R55 due to inability to provide the staffing level needed to care for R11 and R55. …
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