Failure to Notify Ombudsman of Facility-Initiated Transfer
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 notify the State Long Term Care Ombudsman of a facility-initiated transfer for one resident. The resident, who had diagnoses including depression, dementia without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety, was admitted on 07/17/2025 and transferred out of the facility to a hospital via stretcher on 07/27/2025. Review of the emergency transfer log for July 2025 showed that the transfer was not documented as having Ombudsman notification. During interviews and record reviews, facility staff confirmed that the required notification to the State Long-Term Care Ombudsman was not made for this transfer.