Based on interview and record review, the facility did not ensure a safe discharge for 1 of 3 residents (R1) reviewed of a sample of 4 residents.R1 was not allowed to return to the facility after R1 left the building and did not return prior to 11:59 PM. R1 was located by facility staff the next day and given paperwork for discharge against medical advice. R1 was discharged without a safe discharge plan, without R1's belongings or medications. This is evidenced by: Facility policy titled, Administrative Transfer/Discharge Notice, with a revised date of 12/2025, states: Purpose: It is the policy of the facility to provide each operating facility with a process for resident discharges that are initiated by the facility. …
F627 citations in Wisconsin
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
Wisconsin cites F627 less often than its own record predicts
0.47 times the national share — cited less often here than elsewhere.
Of every deficiency written in Wisconsin 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 Wisconsin surveyors wrote
F627 findings written in Wisconsin, 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.
What else Wisconsin surveyors cite →
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