In the Elder Justice Newsletter, we highlight citations, including deficiencies related to abuse, neglect, and substandard care, that have been identified as not causing any resident harm. The goal of this brief newsletter is to shed light on the issue of so-called “no harm” deficiencies, which typically result in no fine or penalty to the nursing home.
Unlawful or poorly managed transfers and discharges are among the most common and distressing violations experienced by nursing home residents. These actions can lead to trauma, hospitalization, and even homelessness.
In this issue, we highlight deficiencies where nursing homes failed to follow federal requirements, putting vulnerable residents at serious risk. Families, ombudsmen, and advocates must remain vigilant in ensuring residents’ rights are protected during any discharge or relocation process.
This newsletter focuses on the following “no harm” violations:
- Blue lips and unresponsive: Resident discharged without oxygen, arrives in medical crisis.
- Medication confusion: Five residents discharged without medications or follow-up care.
- Kicked out on Christmas: Resident discharged without proper notice.
- “Never been homeless before”: Resident discharged to a homeless shelter.
- “Walking with a Swiffer brand mop”: Resident discharged twice without equipment, care, or housing.
- “No one knew what to do”: Residents discharged without home health, equipment, or wound care.
Do YOU think these deficiencies caused “no harm”? Click to download the newsletter or read it in the PDF below.
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