Village Healthcare And Rehabilitation

telephone to let them know their loved one was being transferred or discharged from the facility.

The DON also stated no written discharge or transfer notifications were given to the residents, the families, or their RPs regarding any of these discharges or transfers because it was not something the facility did and was not part of the facility's process or policy. In an interview on 11/05/2025 at 4:05 PM, RN-B stated he gave some discharging residents, as well as the receiving facility, paperwork which included their medications and how they were to be transferred but did not give or send the RPs any discharge or transfer notifications or paperwork.

Record review of the facility's Transfer and Discharge Policy, Revised 12/2023, revealed Facility initiated transfer or discharge - A transfer or discharge which the resident objects to, or did not originate through a resident's verbal or written request, and/or is not in alignment with the resident's stated goals for care and preferences. 2. If the resident (and/or their representative) exercises their right to appeal a transfer or discharge notice, the facility shall not transfer or discharge the resident while the appeal is pending, unless the failure to discharge or transfer would endanger the health or safety of the resident or other individuals in the facility.

The facility shall document the danger that failure to transfer, or discharge would pose. A refusal to readmit the resident to the facility is considered a discharge, and the requirements of 42 CRF Section 483.15 in terms of documentation, notice before transfer, and orientation for transfer/discharge apply. S483.15(c)(3) Notice before transfer.

Before a facility transfers or discharges a resident, the facility must (i) Notify the resident and the resident's representative(s) of the transfer or discharge and the reasons for the move in writing and in a language and manner they understand.

The facility must send a copy of the notice to a representative of the Office of the State Long-Term Care Ombudsman. (ii) Record the reasons for the transfer or discharge in the resident's medical record in accordance with paragraph (c)(2) of this section; and (iii) Include in the notice the items described in paragraph (c)(5) of this section. S483.15(c)(5) Contents of the notice.

The written notice specified in paragraph (c)(3) of this section must include the following: (i) The reason for transfer or discharge; (ii) The effective date of transfer or discharge; (iii) The location to which the resident is transferred or discharged ; (iv) A statement of the resident's appeal rights, including the name, address (mailing and email), and telephone number of the entity which receives such requests; and information on how to obtain an appeal form and assistance in completing the form and submitting the appeal hearing request; (v) The name, address (mailing and email) and telephone number of the Office of the State Long-Term Care Ombudsman; (vi) For nursing facility residents with intellectual and developmental disabilities or related disabilities, the mailing and email address and telephone number of the agency responsible for the protection and advocacy of individuals with developmental disabilities established under Part C of the Developmental Disabilities Assistance and [NAME] of Rights Act of 2000 (Pub. L. 106-402, codified at 42 U.S.C. 15001 et seq.); and (vii) For nursing facility residents with a mental disorder or related disabilities, the mailing and email address and telephone number of the agency responsible for the protection and advocacy of individuals with a mental disorder established under the Protection and Advocacy for Mentally Ill Individuals Act.

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