Inspection·June 30, 2025

F0000 INITIAL COMMENTS

F0000 An unannounced revisit survey for complaint numbers 2025004300 and 2025005646 was conducted in conjunction with a new complaint survey for complaint numbers 2025007123 and 2025008689 (Event ID: Q4X11*) at Trinity Regional Rehab Center on 6/30/25. The facility was in compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities.

F0622 Transfer and Discharge Requirements SS = G F0622 CFR(s): 483.15(c)(1)(i)(ii)(2)(i)-(iii) $483.15(c) Transfer and discharge- $483.15(c)(1) Facility requirements- (i) The facility must permit each resident to remain in the facility, and not transfer or discharge the resident from the facility unless- (A) The transfer or discharge is necessary for the resident's welfare and the resident's needs cannot be met in the facility; (B) The transfer or discharge is appropriate because the resident's health has improved sufficiently so the resident no longer needs the services provided by the facility; (C) The safety of individuals in the facility is endangered due to the clinical or behavioral status of the resident; (D) The health of individuals in the facility would otherwise be endangered; (E) The resident has failed, after reasonable and appropriate notice, to pay for (or to have paid under Medicare or Medicaid) a stay at the facility. Nonpayment applies if the resident does not submit the necessary paperwork for third party payment or after the third party, including Medicare or Medicaid, denies the claim and the resident refuses to pay for his or her stay. For a resident who becomes eligible for Medicare after admission to a facility, the facility 106079 06/30/2025 2144 WELBILT BLVD., TRINITY, Florida, 34655 PREFIX PREFIX TAG TAG APPROPRIATE DEFICIENCY) COMPLETION DATE

F0622 F0622 SS = G Continued from page 1 May charge a resident only allowable charges under Medicaid; or (F) The facility ceases to operate. (i) The facility may not transfer or discharge the resident while the appeal is pending, pursuant to § 431.230 of this chapter, when a resident exercises his or her right to appeal a transfer or discharge notice from the facility pursuant to § 431.220(a)(3) of this chapter, unless the failure to transfer or discharge or transfer would endanger the health or safety of the resident or other individuals in the facility. The facility must document the danger that failure to transfer or discharge would pose. §483.15(c)(2) Documentation. When the facility transfers or discharges a resident under any of the circumstances specified in paragraphs (c)(1)(i)(A) through (F) of this section, the facility must ensure that the transfer or discharge is documented in the resident's medical record and appropriate information is communicated to the receiving health care institution or provider. (i) Documentation in the resident's medical record must include: (A) The basis for the transfer per paragraph (c)(1)(i) of this section. (B) In the case of paragraph (c)(1)(i)(A) of this section, the specific resident need(s) that cannot be met, facility attempts to meet the resident needs, and the service available at the receiving facility to meet the need(s). (ii) The documentation required by paragraph (c)(2)(i) of this section must be made by- (A) The resident's physician when transfer or discharge is necessary under paragraph (c) (1) (A) or (B) of this section; and (B) A physician when transfer or discharge is necessary under paragraph (c)(1)(i)(C) or (D) of this section. (iii) Information provided to the receiving provider must include a minimum of the following: (A) Contact information of the practitioner responsible for the care of the resident. **TRINITY REGIONAL REHAB CENTER** **2144 WELBILT BLVD ,TRINITY, Florida, 34655** |---|---|---|---|---| | F0622 SS = G | Continued from page 2 (B) Resident representative information including contact information (C) Advance Directive information (D) All special instructions or precautions for ongoing care, as appropriate. (E) Comprehensive care plan goals; (F) All other necessary information, including a copy of the resident's discharge summary, consistent with §483.21(c)(2) as applicable, and any other documentation, as applicable, to ensure a safe and effective transition of care. This REQUIREMENT is NOT MET as evidenced by: | F0622 | | |