Failure to Provide Required Written Notice and Discharge Planning for Involuntary Discharge
Penalty
Summary
The facility failed to provide required written discharge notice and conduct discharge planning for a resident who was involuntarily discharged. Medical record review showed a progress note dated 10/28/25 at 1:05 PM documenting that resident #24 was involuntarily discharged from the facility, but further review of the progress notes revealed no evidence that a written discharge notice was given to the resident or the resident’s representative, nor that discharge planning was completed prior to the discharge. In an interview on 1/22/26 at 4:26 PM, the DON confirmed that no written discharge notice was issued and no discharge planning was performed before the resident left the facility. Review of the facility’s policy titled “Transfer or discharge,” dated 12/4/23, showed that the WVSN Social Services Manager, or designee, is responsible for providing the veteran and family member or legal representative, and the Office of the State Long-Term Care Ombudsman, with a notice of transfer or discharge, and that notice of community-initiated transfer or discharge is to be provided 30 days before transfer or discharge unless there is an emergency transfer. The documentation and interview findings demonstrated that these policy requirements were not followed for this involuntary discharge.
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