Failure to Notify State LTC Ombudsman of Resident Discharge
Penalty
Summary
The facility failed to send a copy of a discharge notice to the Office of the State LTC Ombudsman for one resident. The resident was admitted on 6/22/24 with diagnoses including Type 2 diabetes with a foot ulcer, HIV, a history of self-harm, and PTSD. Departmental notes showed that the resident was transferred to the hospital on an unspecified date and was given a letter of eviction on 10/22/25. Review of the clinical record revealed no evidence that the Office of the State LTC Ombudsman was notified of the resident’s transfer and discharge. In an interview on 1/8/25, the Nursing Home Administrator confirmed that the facility did not notify the Office of the State LTC Ombudsman of this resident’s transfer and discharge. This deficiency was cited under 28 Pa. Code 201.14(a) Responsibility of licensee and 28 Pa. Code 201.29(a) Resident rights.
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