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F0628
E

Failure to Provide Required Discharge Documentation and Notifications

Martinsburg, West Virginia Survey Completed on 06-25-2025

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

The facility failed to perform an accurate discharge process for two residents who were hospitalized, as evidenced by missing required documentation and notifications. For one resident with capacity to make her own medical decisions, there was no documentation that the ombudsman was notified of her transfer to the hospital, and the facility was unable to provide a Bed Hold Notice for her hospital leave. For another resident who sustained a fall with injury and was transferred to an acute care facility, the facility could not locate a Bed Hold Notice. In both cases, the Director of Nursing and Nursing Home Administrator confirmed during interviews that the required documentation could not be found and no additional information was provided.

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