Based on record review, interview, and document review, the facility failed to ensure a written notice of the reason for transfer was provided to a resident and/or the resident's representative and the Office of State Long-Term Care Ombudsman (Ombudsman) and a written notice of the bed-hold policy and right to return to the facility was provided to the resident and/or the resident's representative for 1 of 20 sampled residents (Resident #105). This deficient practice had the potential to place residents at risk of being denied due process and losing the right to return to the facility following a transfer to an acute care hospital. …
F628 citations in Nevada
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
Nevada cites F628 less often than its own record predicts
0.53 times the national share — cited less often here than elsewhere.
Of every deficiency written in Nevada 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 Nevada surveyors wrote
F628 findings written in Nevada, 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 Nevada surveyors cite →
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