Country Care Manor

became aware of the refusal of the facility to readmit Resident #1 during the hospitalization beginning on 10/17/2025, he notified the Admin. that Resident #1 had a right to return to the facility, and that the actions of the facility constituted dumping. He said the Admin. told him that the facility Resident #1 did not have a physician overseeing his care properly, so he could not return. He said he also told the facility that Resident #1 should be issued a notice of discharge, but the facility refused. He notified the facility that Resident #1 was formally appealing the discharge, but the facility informed him that Resident #1 could not return despite the appeal. He felt the facility was refusing to readmit Resident #1 due to conflicts with Resident #1's family member, not the issue regarding Resident #1's physician. In an interview with the Admin. on 11/20/2025 at 2:35 PM, he stated Resident #1 was initially terminated as a patient by the facility's MD, MD A, in August 2025, and the facility's second physician was not accepting new patients. Resident #1 then selected his outpatient physician, MD B, to be his physician at the facility, but he said MD B did not meet their expectations of responsiveness when the facility staff attempted to contact him after hours. He said that because of the lack of responsiveness from MD B, he felt readmitting Resident #1 under MD B's care would be a disservice.

Since MD A had previously terminated Resident #1 and would not be accepted as a patient, he felt Resident #1's needs could not be met at the facility. He said he did not notify Resident #1 or his family member about the discharge by conversation or letter, and he was communicating only with the ombudsman. He said he was aware Resident #1 had appealed the discharge, but he was not permitted to return while the appeal was pending because the facility felt like there was not a physician available to oversee his care during the appeal period. He was unsure if Resident #1 had been given an opportunity to select a different physician prior to the refusal to readmit. He said the facility requested a discharge summary from MD B at the end of October, but the document had not been returned. In an interview with MD B's office on 11/21/2025 at 2:16 PM, MD B's medical assistant stated MD B was the physician overseeing Resident #1's care at the facility.

She said the last communication made by the facility to MD B's office was on 10/16/2025 to the after hours on-call service regarding a change in condition.

She said MD B had not been notified by the facility that Resident #1 had been discharged from the facility.

Record review of the facility policy titled Admission, Transfer, and discharge date d September 2022, revealed the following:The notice of transfer or discharge must be given at least 30 days before the resident is transferred or discharged .

The community permits residents to return to the community after they are hospitalized or placed on therapeutic leave . If the community determines that a resident who was transferred with an expectation of returning to the community, the community will comply with the transfer and discharge requirements as they apply .

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