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F0628
D

Failure to Provide Required Written Transfer/Discharge Information

Viburnum, Missouri Survey Completed on 07-31-2025

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 provide required written information to residents and/or their representatives regarding ombudsman contact details, agencies responsible for protection and advocacy for individuals with mental disorders and developmental disabilities, and appeal rights. This deficiency was identified for two residents who were transferred to the hospital with an anticipated return. Review of the facility's policy indicated that such information should be included in the transfer/discharge paperwork, but documentation was lacking in both cases. Interviews with facility staff, including the Business Office Manager, Social Services Designee, and Administrator, confirmed that the discharge paperwork used did not contain the necessary information. The electronic medical record form utilized by nurses omitted the appeal, ombudsman, and other required contact details. There was also no transfer/discharge notification form present for one of the residents, further evidencing the failure to meet regulatory requirements.

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