Failure to Implement Safe and Orderly Facility Closure Plan
Penalty
Summary
The facility failed to implement an adequate closure plan to ensure the safe and orderly discharge and transfer of all 78 residents prior to closure. Although residents and their families were notified of the facility’s loss of Medicaid participation and impending closure, the facility’s closure plan documentation indicated that residents were given 30 days’ notice and a list of four local nursing homes, along with the option to choose any facility. However, the facility also allowed local nursing home staff to come and screen residents, and the stated goal was to close the facility within 30 days. Despite the written plan, interviews and observations revealed that the facility’s administrator and owner prioritized rapid discharge, with the owner expressing a desire to move residents out as quickly as possible, citing both safety concerns and financial motivations. The administrator stated that residents would begin transferring the day after the closure notice, and the owner later confirmed that all residents were moved within approximately 30 hours, rather than the 30 days referenced in the closure plan. The last resident was observed being transferred to a local hotel, and all residents were discharged within two days of the closure notice. Additionally, the facility failed to provide a policy regarding closure to the survey team, and review of the Notice of Involuntary Transfer or Discharge and Opportunity for Hearing forms for all residents revealed that they were incomplete. The facility’s actions did not align with the stated closure plan or regulatory requirements for orderly and safe resident transitions, and the lack of complete documentation and policy further contributed to the deficiency.