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F0628
D

Failure to Notify Ombudsman of Resident Hospital Transfer

Cherryvale, Kansas Survey Completed on 09-04-2025

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 Ombudsman of a resident's transfer to the hospital, as required by facility policy. The resident in question had diagnoses of Parkinson's disease, congestive heart failure, and diabetes mellitus, and was transferred to the hospital as documented in the electronic medical record (EMR). However, the EMR did not contain any documentation that the Ombudsman was notified of this transfer. During an interview, the administrative nurse confirmed that the Ombudsman had not been notified. The facility was unable to provide evidence of such notification, despite a policy stating that the Ombudsman must be informed of all resident transfers or discharges.

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