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F0628
B

Failure to Notify Ombudsman of Facility-Initiated Transfers

Dallas, Pennsylvania 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 copies of written notices of facility-initiated hospital transfers to the representative of the Office of the State Long-Term Care Ombudsman for two residents. Clinical record reviews showed that both residents were transferred to the hospital and later readmitted to the facility. While written notices of the transfers were given to the residents and their representatives, there was no documented evidence that these notices were also sent to the Ombudsman as required. This was confirmed during an interview with the Nursing Home Administrator, who acknowledged the lack of documentation for sending the required notices to the Ombudsman.

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