Butler Rehab And Healthcare Center

staff signature line. -The resident signature line was blank.

During an interview on 10/7/25 at 11:51 A.M., the Social Services Director (SSD) said:-The resident did not ask to be discharged .-The resident was discharged on 8/1/25 when he/she went to the hospital.

During an interview on 10/7/25 at 1:46 P.M., the Director of Nursing (DON) said:-There was a discharge packet that was filled out by the nursing team.-He/She was unaware if the packet was completed.-He/She was unaware if discharging to a homeless shelter was an appropriate discharge, he/she would have contacted the corporate office.-He/She viewed the staff signature on the discharge form and confirmed it was the Administrator's. -Not sure who the discharge nurse was who brought the paperwork to the hospital.-There is no documentation stating who it was.-He/She expected each resident would have safe discharge plan due to ensure care and services are provided.-He/She expected there to be complete documentation regarding discharges.During an interview on 10/7/25 at 1:56 P.M., the Administrator said:-He/She told the resident he/she would not be allowed to come back to the facility.-The resident wanted to come back to the facility and said he/she was coming back and there was nothing we could do about it.-The resident would not take the notice from the charge nurse.-The resident was an immediate discharge.-The resident was not appropriate with the other residents.-The resident was drinking and sneaking alcohol in the facility.-The resident said sexually inappropriate things to other residents.-He/She felt it was safer for the other residents if the resident was no longer at the facility.-The resident was adamant that he/she wanted to stay at the facility.-The discharge paper said to return him/her to the shelter.-At the time he/she thought it was appropriate to discharge the resident to a homeless shelter, since that is where the resident admitted from.-He/She was under the impression that the resident fit the criteria for an immediate discharge. -The resident did not sign out of the facility Against Medical Advice (AMA).-When he/she was discharged from the hospital it was decided not to let him/her come back to the facility.-One of the nurses delivered the discharge notice he/she initially refused, to the hospital, along with the resident's walker, medication and belongings.-He/She was notified by the veteran's hospital that the resident was there.-He/She would have to check with corporate to see if the resident would be allowed back at the facility. -He/She would expect staff to follow discharge protocol, including completed documentation.

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