Failure to Notify Ombudsman of Resident Discharge Notice
Penalty
Summary
The deficiency involves the facility’s failure to provide a copy of a 30‑day discharge notice to the Office of the State Long-Term Care Ombudsman for a resident being discharged. The resident, who had diagnoses including heart failure, renal insufficiency, diabetes mellitus, and depression, was cognitively intact and independent with eating, toileting, bathing, and personal hygiene per an MDS 3.0 assessment. The medical record showed the resident was admitted on an unspecified date and received a 30‑day discharge notice dated 12/29/25, with an effective discharge date of 01/28/26, signed by the Administrator. There was no documentation that the Ombudsman’s office was notified or provided a copy of this discharge notice. During an interview on 01/28/26, the resident reported receiving a letter stating she was being discharged that day to a homeless shelter, and in a separate interview the same day, the Administrator confirmed he could not provide any evidence that the Ombudsman had been notified of the discharge notice. This omission was identified as an incidental finding during a complaint investigation.
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