Coastal Health and Rehab: Discharge Notice Failure - FL
Federal inspectors cited the facility following a complaint inspection completed September 11, 2025, finding that the nursing home discharged Resident 1 without providing a Nursing Home Transfer and Discharge Notice. The violation was tagged at a level of minimal harm or potential for actual harm.
The notice isn't a formality. It is supposed to tell a resident, in writing, why they are being discharged, when the discharge takes effect, and where they are being sent. It is supposed to include a statement of the resident's right to appeal. It is supposed to list the name, address, and phone number of the Office of the State Long-term Care Ombudsman, the independent office residents can contact if they believe a discharge is wrong. And a copy is supposed to go to that ombudsman's office directly.
None of that happened for Resident 1.
When inspectors reviewed the record, the notice wasn't there. Inspectors obtained photographic evidence confirming its absence.
The facility's own internal policy, last revised in February 2024, spells out exactly what is required and when. The policy states that when a resident is being discharged because their health has improved sufficiently that they no longer need the facility's services, written notice must be given as soon as practicable, and before the transfer or discharge occurs. The policy lists the same required contents: reason, effective date, destination, appeal rights, ombudsman contact information.
The facility wrote that policy. Inspectors found the facility didn't follow it.
When asked about the discharge care planning process, the facility's social services manager told inspectors that discharge planning should be incorporated into the resident's care plan. She said she handles the discharges. The inspection record does not indicate she offered an explanation for why the required notice was never generated or provided to Resident 1.
The ombudsman's office, which is meant to receive a copy of every such notice, received nothing either.
Discharge notices exist because leaving a nursing home is not always straightforward, and not always voluntary. Residents and their families sometimes disagree with a facility's decision to discharge. The appeal right written into that notice is the mechanism through which a resident can contest the decision before it happens. Without the notice, a resident may not know that right exists at all.
Resident 1 left Coastal Health and Rehabilitation Center without knowing, in any documented way, that they could have challenged the discharge, who to call if they had concerns, or even the formal stated reason they were being sent home.
The facility is located in Daytona Beach. The inspection was a complaint investigation, meaning someone had already raised a concern before inspectors arrived.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Coastal Health and Rehabilitation Center from 2025-09-11 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 21, 2026 · Our methodology
COASTAL HEALTH AND REHABILITATION CENTER in DAYTONA BEACH, FL was cited for violations during a health inspection on September 11, 2025.
The violation was tagged at a level of minimal harm or potential for actual harm.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.