Based on interview and record review, the facility failed to ensure a comprehensive discharge summary was completed for one Resident (#2) of two residents reviewed for a discharge to the community. Findings include: Resident #2 (R2) Review of R2's electronic medical record (EMR) revealed admission to the facility on 3/5/25 with diagnoses including a fracture of the second cervical (neck) vertebra and repeated falls. R2 was discharged from the facility on 4/2/25. Review of R2's EMR revealed no discharge plan, recapitulation of stay, reconciliation of pre/post-discharge medications, or physician discharge orders. On 4/16/25 at 3:22 PM, an interview was conducted with the Director of Nursing (DON) regarding discharge documentation expectations. …
F661 citations in Michigan
Resident Assessment and Care Planning Deficiencies
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Michigan cites F661 less often than its own record predicts
0.83 times the national share — cited less often here than elsewhere.
Of every deficiency written in Michigan in 2025, this is the portion that was F661.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Michigan surveyors wrote
F661 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.
The short window
Recent years
| Year | Share of Michigan citations | vs expected |
|---|---|---|
| 2023 | 0.09% | 0.35× |
| 2024 | 0.11% | 0.47× |
| 2025 | 0.05% | 0.83× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Michigan surveyors cite →
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