Enhancing Your Advocacy Toolbox-Protecting Residents from Nursing Facility-Initiated Discharges

Mary Madison, RN, RAC-CT, CDP
Clinical Consultant – Briggs Healthcare

The National Long-Term Care Ombudsman Resource Center has posted a 53-page Enhancing Your Advocacy Toolbox – Protecting Residents from Nursing Facility-Initiated Discharges guide.

“Complaints regarding nursing facility-initiated discharges have been the most common type of complaint received by the Long-Term Care Ombudsman program for the last nine years. In 2019, 10,508 of the 142,051 nursing facility complaints were about discharges.  According to federal guidance for surveyors, “facility-initiated discharge” is defined as “a transfer or discharge which the resident objects to, 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.”  The purpose of this resource is to assist Ombudsman programs when advocating for residents facing a facility-initiated discharge.”

F622 and F623 address facility-initiated discharges; both tags fall under the umbrella of resident rights. F622 lays out the requirements for such transfers and discharges while F623 addresses the notice required before discharge.

FY2020 saw 252 provider citations for violations of F622.  FY2021 (to date) has seen 31 provider citations for violations of F622.

FY2020 saw 852 provider citations for violations of F623.  FY2021 (to date) has seen 45 provider citations for violations of F623.

This guide is an important tool for all LTC facilities.  Please review this Ombudsman guide with your team to ensure you’re in compliance with regulations and are advocating for resident rights in your facility.