Failure to Complete Discharge Summary for Discharged Resident
Penalty
No penalty information released
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 complete a discharge summary for one resident who was discharged after a one-month stay. According to the facility's Discharge Transfer of a Resident Policy and Procedure, a discharge summary and post-discharge plan of care form are required to be completed at the time of discharge. Record review showed that the resident was admitted on 03/31/2025 and discharged on 04/30/2025, but there was no documentation of a discharge summary in the resident's file. This was confirmed during an interview with the DON, who acknowledged the absence of the required discharge summary documentation for the resident.