Failure to Provide Required 30-Day Written Discharge Notice
Penalty
Summary
The deficiency involves the facility’s failure to provide a required 30-day written notice of discharge to a resident prior to discharge. The facility’s “Notice of Discharge and/or Transfer” policy, dated 10/7/25, stated that systems are implemented to provide written notification to residents prior to transfer. Resident #58 was admitted with multiple diagnoses including bipolar disorder, obstructive sleep apnea, and a need for assistance with personal care. The resident’s care plan, dated 10/23/25, documented that he was an independent smoker who had been educated on the facility’s smoking policy. On 10/29/25 at 10:53 AM, a progress note documented that the resident was educated on appropriate smoking areas and informed that noncompliance would result in issuance of a 30-day written notice as required by policy and regulation. A subsequent progress note on 10/29/25 at 5:10 PM documented that the resident was issued a 30-day notice due to smoking on facility grounds, but the note did not indicate that a written notice was provided. Another progress note at 5:40 PM the same day documented that the resident requested to leave the facility against medical advice. The record contained a discharge assessment (unsigned by the resident) and an acknowledgment of risk for leaving AMA signed by the resident, but there was no documentation of a written 30-day discharge notice. On 2/20/26 at 11:01 AM, the Administrator and Resource Nurse confirmed they were unable to provide documentation that a written 30-day discharge notice had been given to the resident.
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