Reason for planned discharge not supported by documentation of testimonial evidence; facility did not demonstrate that appellant’s behavior endangers others; documentation provided by facility does not support reason for discharge; at the hearing the facility did not address the discharge plan to the shelter nor did it provide information about how appellant could be cared for in the community setting.
Category: Nursing facility discharge
Appeal 1816922
Facility did not provide appellant with sufficient preparation and orientation to ensure a safe and orderly discharge from the facility to another safe and appropriate place; facility did not designate a discharge location; clinical record lacks progress note from physician to document he no longer needs the facility’s services; no progress note by physician documenting appellant’s danger to safety of other residents.
Appeal 1808737
Nursing facility sought to discharge appellant for failing to pay; nursing facility failed to show sufficient preparation and orientation or that the discharge location is a safe and appropriate place.
Appeal 1811962
Failure to pay facility; grounds sufficient for discharge; however, notice of intent was deficient due to lack of name of person at facility available to answer questions and assist appellant with appeal; also lack of documentation from physician.
Appeal 1809935
Nursing facility notified appellant that it intended to discharge her because she was a danger to others; facility did not meet the regulatory requirements related to discharge; notice from facility does not indicate that it was mailed to a designated family member; representative from agency did not clearly indicate how discharge location would be safe or appropriate for appellant.
Appeal 1805159
Appellant discharged from nursing facility to homeless shelter; discharge was warranted; location of discharge approved by appellant’s physician; appellant does not need services of skilled nursing facility.
Appeal 1805691
Appellant’s health improved significantly such that she did not need the facility services; facility provided proper notification of intent to discharge.
Appeal 1800679
Notice of discharge meets regulatory requirements; nursing facility involved appellant and his guardian in discharge planning; fact that appellant has not found place he wants to live is out of control of nursing facility; physician indicated appellant medically cleared for discharge; place to which appellant will be discharged is safe and appropriate.
Appeal 1803838
Hearing officer agreed facility had sufficient grounds to discharge; appellant smoked without supervision in facility including in her room; danger to other residents; discharge notice met regulatory requirements; however, there was a lack of the required documentation by a physician.
Appeal 1800158
Nursing facility did not meet its burden to support its discharge notice; nursing facility did not appear at hearing; nursing facility did not show good cause regarding failure to appear.
MassHealth Appeals 