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F0628
E

Failure to Notify LTC Ombudsman of Resident Discharges

Mishawaka, Indiana Survey Completed on 05-27-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to notify the Long Term Care (LTC) Ombudsman in a timely manner regarding resident discharges for three out of five residents reviewed. Specifically, one resident was discharged to home after completing therapy, but the discharge notification for that month was not sent to the Ombudsman as required. The Executive Director (ED) confirmed that the discharge notifications for April had not been sent, despite being due at the beginning of the following month. Additionally, two other residents were sent to the hospital and subsequently discharged, but their names were not included on the Ombudsman notification lists for their respective months. Record reviews and interviews with the ED confirmed that these residents' discharges were omitted from the required notifications. The facility's policy states that evidence of notification to the Ombudsman should be maintained, but this was not followed in these cases.

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