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F0627
D

Failure to Ensure Timely Therapy Orders at Discharge

Coos Bay, Oregon Survey Completed on 08-25-2025

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

A deficiency occurred when the facility failed to ensure that therapy orders were in place for a resident being discharged after a stroke. The resident was discharged according to the family's wishes, despite the therapy department recommending two additional weeks of therapy. Although a referral to a Home Health Agency was submitted, the necessary physical therapy and occupational therapy orders were not signed before discharge because the physician was not present in the facility. As a result, the home health provider did not receive the therapy orders until the resident visited their primary care physician after discharge, causing a delay in the initiation of home health therapy services.

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