Inadequate Discharge Planning and Orientation Prior to Shelter Discharge
Penalty
Summary
The deficiency involves the facility’s failure to communicate, develop, and implement an effective discharge plan and to provide sufficient time and orientation prior to discharge for one resident. The resident was admitted with an ankle infection, mood disorder, and substance abuse, and had limited mobility with non‑weight‑bearing restrictions on the right lower extremity for six weeks. The Discharge Care Plan noted that the resident wished to return to placement options and that there was potential for complications related to discharge planning, including health literacy and the possibility that the prior living environment was not available because the resident did not have a home. Early discharge evaluations documented that the discharge plan was unknown, and subsequent managed care discharge plans identified barriers such as placement needs and the foot injury, with a back‑up plan of LTC if preferred discharge locations were not attainable. Over the course of several weeks, managed care discharge plans projected discharge dates and contemplated discharge to home with the resident’s mother versus placement, while continuing to list barriers of non‑weight‑bearing status and placement. The facility’s social services staff reported they were waiting to explore placement with DSHS until the resident was able to bear weight, and acknowledged they did not have time to plan for placement with DSHS when the resident was later required to leave immediately. Although the resident’s behavior reportedly escalated in the two weeks prior to discharge, including derogatory comments toward other residents, a verbal altercation with a roommate, and threats to physically harm a nurse, the care plan related to these behaviors was not updated until the day police were called. Staff also reported suspected alcohol use, but there was no documentation of referrals to behavioral health or substance abuse programs, and the behavioral consultant was not re‑engaged when behavior escalated. The resident stated that the Social Service Director told them they had to leave after a verbal altercation with a nurse and that they did not believe remaining at the facility was an option. The resident reported being told they would be discharged to a shelter and believed this would be a transitional housing setting with a bed, not a street‑level homeless shelter. The Transfer and Discharge notice cited endangerment to the safety of others as the reason for discharge and listed a specific shelter as the discharge location, with only two days between notice and discharge. The resident reported being surprised when the facility van dropped them off outside a homeless shelter, finding the doors locked and no bed available for the night, and having to travel a distance using a knee scooter to contact family. Facility leadership later stated that the resident was discharged because they no longer needed services and were independent with ADLs, and that they believed the resident wanted to go to a homeless shelter, while also acknowledging that exploring placement options should have occurred prior to discharge and that they were unaware at the time that the shelter did not guarantee overnight beds. Documentation on the day before and day of discharge showed the resident was on behavior alert but did not record significant behaviors other than talking loudly, and staff described the resident as anxious about discharge and attempting to delay the process, while also indicating they had been told the resident was leaving that day and did not know what would happen if the resident refused to leave.
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