Licensure Reference Number 175 NAC 12-006.09(G)(ii)Based on record review and interview the facility failed to ensure that the Ombudsman was notified of all transfers and discharges from the facility, failed to ensure that the resident bed hold was obtained for 2 of 2 residents reviewed (Residents 9 and 13), and failed to ensure that transfer information was communicated to the hospital for 1 of 1 residents reviewed (Resident 13). The facility census was 54.Findings are: Record review of the facility policy titled Transfer and Discharge (including AMA) (against medical advice) dated 7/15/26 revealed that the policy applies to all residents. Orientation for discharge will be provided and documented to ensure safe and orderly transfer or discharge from the facility. …
F628 citations in Nebraska
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
Nebraska cites F628 more often than its own record predicts
2.40 times the share F628 takes of citations nationally.
Of every deficiency written in Nebraska 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 Nebraska surveyors wrote
F628 findings written in Nebraska, 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.
Licensure Reference Number 175 NAC 12-006.09(G)(i)Based on interview and record review; the facility failed to complete Ombudsman notifications and/or comprehensive discharge summaries for Residents 71, 72, and 74. Findings are:A. Review of the facility policy Discharge Summary last revised 4/2025 revealed when the facility anticipated a resident discharge, the discharge summary would include, but not be limited to the following:-a recapitulation of the resident's stay that includes diagnoses, course of illness/treatment or therapy, any pertinent lab, radiology and consultation results;-a final summary of the residents status to include a description of the resident's: identification and demographic information, customary routine, cognitive patterns, communication, vision, mood and… …
What else Nebraska surveyors cite →
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