Based on record review, review of hospital records, policy review, review of local police reports, staff interview, resident interview and interview with the Long-Term Care Ombudsman, the facility failed to provide a safe and proper discharge to an appropriate location for Resident #25. This resulted in Immediate Jeopardy and the potential for serious life-threatening harm, injuries, and/or death on [DATE] when Resident #25, who had diagnoses including type two diabetes mellitus with two chronic ulcers, adult failure to thrive, functional quadriplegia, nicotine dependence, deep vein thrombosis, personality disorder, psychoactive substance abuse, anxiety, depression, and viral Hepatitis C, was discharged to an unknown location without housing, medications, or arrangements for ongoing care. …
F627 citations in Ohio
Resident Rights Deficiencies
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Ohio cites F627 more often than its own record predicts
1.09 times the share F627 takes of citations nationally.
Of every deficiency written in Ohio in 2025, this is the portion that was F627.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Ohio surveyors wrote
F627 findings written in Ohio, 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.
THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on medical record review, staff, resident, health insurance provider and waiver service provider interviews, review of an Emergency Medical Services (EMS) run report, review of hospital documents, and review of facility policy, the facility failed to ensure a safe resident discharge to home. This resulted in Actual Harm on 07/24/25 at approximately 10:44 A.M. when Resident #62, who was dependent on others for care and required the use of a mechanical lift for transfers, was discharged to home without the needed equipment and services to meet her care needs. …
Based on review of medical records, facility policy review, and interview, the facility failed to ensure appropriate discharge plans were in place to meet residents post discharge needs. This affected three residents (Residents #148, #153, and #161) of three residents reviewed for discharge. The facility census was 78.Findings Include:1. Review of the closed medical record for Resident #148 revealed admission to facility on 06/18/26 for diagnoses including chronic respiratory failure, lung disease, heart failure, high blood pressure, oxygen dependence, anxiety, irregular heart rate, and constipation.Review of the Minimum Data Set (MDS) 3.0 initial comprehensive assessment completed on 06/25/26 for Resident #148 revealed a brief interview for mental status (BIMS) score of 14/15 indicating… …
What else Ohio surveyors cite →
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