Based on record review and staff interview, it has been determined that the facility failed to reconcile all pre-discharge medications with the resident's post-discharge medications, for 1 of 3 residents reviewed who were discharged from the facility, Resident ID #1. Findings are as follows: Record review of a community reported complaint received by the Rhode Island Department of Health on 11/19/2024, alleges that Resident ID #1 was discharged home with Resident ID #2's medications. This resulted in one of the medications being taken by Resident ID #1 on two separate dates following his/her discharge. …
F661 citations in Rhode Island
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 — 2024
Rhode Island cites F661 more often than its own record predicts
4.52 times the share F661 takes of citations nationally.
Of every deficiency written in Rhode Island in 2024, 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 Rhode Island surveyors wrote
F661 findings written in Rhode Island, 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 review and staff interview, it has been determined that the facility failed to reconcile all pre-discharge medication orders with the resident's post-discharge medication orders, for 1 of 3 residents reviewed relative to discharge from the facility, Resident ID #2. Findings are as follows: Record review revealed the resident was admitted to the facility in September of 2024 with diagnoses including, but not limited to, polymyalgia rheumatica (an inflammatory disorder that causes pain), osteoarthritis and cervical disc disorder (injuries to the discs between the vertebrae). Further review revealed the resident was discharged to his/her home on 10/13/2024. …
What else Rhode Island surveyors cite →
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