Failure to Provide Written Appeal Rights and Ombudsman/State Agency Contact Information at Discharge
Penalty
Summary
The facility failed to provide required written documentation upon discharge regarding residents’ rights to appeal and contact information for the Ombudsman and State Agency. During document review on 02/10/26 between 10:15 a.m. and 11:15 a.m., surveyors examined discharge documentation for three discharged residents (Residents #61, #62, and #63) and found no readily available written information outlining the residents’ right to appeal their discharge or how to contact the local Ombudsman or State Agency. In an interview at 11:40 a.m. on the same day, the DON confirmed that such documentation was not present, and the Administrator also acknowledged these findings during the exit conference at approximately 12:30 p.m. on 02/10/26. The deficiency involved 3 of 3 discharged residents reviewed, with a total facility census of 58 residents at the time of the survey.
