Failure to Notify Ombudsman of Resident Discharge
Penalty
Summary
The deficiency involves the facility’s failure to send a required discharge notice to the Long-Term Care Ombudsman for a resident who was discharged home. The resident had a BIMS score of 15, indicating no cognitive impairment, and medical diagnoses including non-ST elevated myocardial infarction and unspecified dementia, and was independent with ADLs and hygiene. Social services documented that the resident would be returning home with services, assistance from a friend, and transportation support, and that the resident and family representative were aware of the need to schedule a follow-up PCP appointment. An administrative note later documented that the resident was discharged. Review of the facility’s Documentation of Transfers and Discharges policy showed no requirement to send transfer or discharge notices to the Ombudsman, and in an interview, social services confirmed that the Ombudsman was not informed of the discharge and stated she did not know this was required.
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