Based on closed medical record review, facility policy review, and interview, the facility failed to ensure resident discharge summaries were conveyed to the community healthcare providers upon discharge. This affected two residents (Residents #153 and #161) of three residents reviewed for discharge. The facility census was 78.Findings Include:1. Review of the medical record for Resident #153 revealed admission to the facility on [DATE] with diagnoses including respiratory failure, lung disease, anxiety, anemia (low blood count), opioid abuse, bipolar disorder (mood fluctuates), hoarding disorder, and fibromyalgia (chronic diffuse nerve pain).Review of the Minimum Data Set (MDS) 3.0 initial comprehensive assessment completed on 07/24/26 for Resident #153 revealed a BIMS score of 15/15… …
F628 citations in Ohio
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
Ohio cites F628 less often than its own record predicts
0.87 times the national share — cited less often here than elsewhere.
Of every deficiency written in Ohio 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 Ohio surveyors wrote
F628 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.
Based on record reviews and interviews, the facility failed to notify the State Ombudsman of transfers or discharges for four Residents (#3, #4, #28, and #85) of six residents reviewed for proper discharge processes. The facility census was 77.Findings include: 1. A review of Resident #3's medical record revealed an admission date 04/29/26 and a discharge date of 05/07/26. Resident #3's pertinent diagnoses included surgical aftercare following surgery on the digestive system, incisional hernia without obstruction or gangrene, malignant neoplasm of cervix uteri, type II diabetes mellitus with hyperglycemia, atrial fibrillation, congestive heart failure (CHF), chronic obstructive pulmonary disease (COPD), asthma, aphasia and depression. …
What else Ohio surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction