Health inspection·March 18, 2024

F 0623 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on medical record review, hospital staff interview, staff interview, and review of the facility policy, the facility failed to ensure residents were notified in writing of proposed discharge from the facility. This affected one (Resident #10) of three residents reviewed for discharge to the hospital. The census was 97. Findings include: Review of the closed medical record for Resident #10 revealed an admission date of 12/14/23 with diagnoses including hemiplegia and hemiparesis following cerebral infarction, dysphagia, hypertensive heart, chronic kidney disease and depression. Review of the Minimum Data Set (MDS) assessment for Resident #10 dated 12/22/23 revealed the resident was cognitively intact and required extensive assistance of staff with activities of daily living (ADLs.) Review of the progress notes for Resident #10 dated 11/16/23 to 02/09/24 revealed the resident was transferred to and from the hospital multiple times and each time prior to the hospital transfer on 02/10/24 the resident was readmitted to the facility regardless of payor source or outstanding balance. Review of the progress note for Resident #10 dated 02/10/24 revealed the resident was sent to the hospital and admitted with a diagnosis of groin pain. Interview on 03/18/24 at 9:10 A. M. with Case Manager (CM) #100 from the hospital confirmed Resident #10 was admitted to the hospital on [DATE] for groin pain and on 02/11/24 the resident was ready to be discharged back to the facility on [DATE]. CM #100 confirmed when she notified the facility on 02/11/24 of Resident #10's return to the facility, the facility Administrator said the resident had been discharged from the facility and could not return because of an outstanding balance. Interview on 03/18/24 at 10:20 A. M. with the Administrator confirmed she received a phone call from CM #100 on 02/11/24 for Resident #10 to be readmitted to the facility. The Administrator confirmed the facility would not allow the resident to return because they had discharged her due to nonpayment of an outstanding bill for the resident's care. Interview on 03/18/24 at 12:22 P. M. with the Administrator confirmed the facility had been planning to issue a written 30-day discharge notice to Resident #10 for nonpayment, but they had not done so. Page 1 of 2 365686 365686 03/18/2024 Columbus Healthcare Center 4301 Clime Road North Columbus, OH 43228

F 0623 Level of Harm - Minimal harm or potential for actual harm Review of the facility policy titled Discharge Planning dated revealed the discharge planning process must be consistent with the discharge rights set forth by federal rules and regulations. This deficiency represents noncompliance investigated under Complaint Number OH000151576. Residents Affected - Few 365686 Page 2 of 2