Based on interview and record review, the facility failed to ensure the Long-Term Care (LTC) Ombudsman was notified of a resident's discharge from the facility for one Resident (#137) of one resident reviewed for discharge practices. This deficient practice has the potential to limit oversight and advocacy services intended to protect residents' rights during the transfer and discharge process.Findings include:Resident #137 (R137)Review of R137's Electronic Medical Record (EMR) revealed the resident was admitted to the facility on [DATE] with diagnoses including metabolic encephalopathy (a brain dysfunction caused by a chemical imbalance) and syncope (fainting).Review of a facility census report revealed R137 was discharged from the facility on 6/9/26.Review of the documentation provided… …
F628 citations in Michigan
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Michigan cites F628 less often than its own record predicts
0.71 times the national share — cited less often here than elsewhere.
Of every deficiency written in Michigan in 2025, this is the portion that was F628.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Michigan surveyors wrote
F628 findings written in Michigan, 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 failed to send a copy of the notice of transfer or discharge to the representative of the Office of the State Long-Term CareOmbudsman for two (Resident 54 and 56) of two residents reviewed. Findings include:Review of the medical record reflected R54 was admitted to the facility on [DATE], with diagnoses that included heart failure. R54 no longer resided in the facility. According to a Progress Note, on 12/7/25, R54 was transferred out to a local hospital. Review of the medical record reflected R56 was admitted to the facility on [DATE], with diagnoses that included weakness. R56 no longer resided in the facility. …
What else Michigan surveyors cite →
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