Stay Ahead of Compliance with Monthly Citation Updates


In your State Survey window and need a snapshot of your risks?

Survey Preparedness Report

One Time Fee
$79
  • Last 12 months of citation data in one tailored report
  • Pinpoint the tags driving penalties in facilities like yours
  • Jump to regulations and pathways used by surveyors
  • Access to your report within 2 hours of purchase
  • Easily share it with your team - no registration needed
Get Your Report Now →

Monthly citation updates straight to your inbox for ongoing preparation?

Monthly Citation Reports

$18.90 per month
  • Latest citation updates delivered monthly to your email
  • Citations organized by compliance areas
  • Shared automatically with your team, by area
  • Customizable for your state(s) of interest
  • Direct links to CMS documentation relevant parts
Learn more →

Save Hours of Work with AI-Powered Plan of Correction Writer


One-Time Fee

$49 per Plan of Correction
Volume discounts available – save up to 20%
  • Quickly search for approved POC from other facilities
  • Instant access
  • Intuitive interface
  • No recurring fees
  • Save hours of work
F0628
D

Failure to Complete Required Discharge Summary for Resident

Lancaster, Texas Survey Completed on 09-09-2025

Penalty

No penalty information released
tooltip icon
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 complete a discharge summary for a resident who was discharged to another care setting. Specifically, the discharge summary was missing key elements such as a recapitulation of the resident's stay, including diagnoses, course of treatment, pertinent laboratory results, a final summary of the resident's status, and a reconciliation of all pre-discharge medications with post-discharge medications. The resident's record only included a final progress note indicating the resident was discharged in stable condition with her daughter, had her medications and belongings, and that the room was empty, but did not provide the required detailed clinical information or individualized care instructions. The resident involved had a history of cerebrovascular disease, type 2 diabetes mellitus, adjustment disorder with anxiety, morbid obesity, hemiplegia, cerebral infarction, and muscle wasting. She had moderately impaired cognitive function, used a wheelchair, and required assistance with activities of daily living. During interviews, the Social Service Designee (SSD) confirmed that the discharge summary was not completed and was unable to provide a reason for the omission. Review of facility policy indicated that the SSD and/or Case Manager, with input from the Interdisciplinary Team, are responsible for ensuring a comprehensive discharge planning process, which was not followed in this instance.

An unhandled error has occurred. Reload 🗙