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F0628
D

Failure to Notify Ombudsman of Emergency Hospital Transfer

Philadelphia, Pennsylvania Survey Completed on 05-23-2025

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 notify the Office of the State Long-Term Care Ombudsman regarding a facility-initiated emergency transfer of a resident to the hospital. Review of the clinical record showed that the resident was transferred to the local hospital for evaluation, as documented in a nursing progress note. However, documentation provided by the Nursing Home Administrator confirmed that the required notification to the Ombudsman was not made until more than two months after the transfer occurred. An interview with the Nursing Home Administrator further confirmed that the Ombudsman was not informed at the time of the resident's hospital transfer.

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