OIG: Nursing Home Facility-Initiated Discharges: A Data Brief 

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

A facility-initiated transfer or discharge of a resident from a nursing home can be an unsafe and traumatic experience for the resident and the resident’s family. To address these concerns, Congress passed the Nursing Home Reform Act of 1987 to protect residents against inappropriate, facility-initiated transfers and discharges. However, data from the National Ombudsman Reporting System show that from 2011 through 2016 the Long-Term Care Ombudsman Program, established by the Older Americans Act of 1965 to advocate on behalf of older Americans, cited complaints related to “discharge/eviction” more frequently than any other concern. In addition, the media has highlighted a rise in nursing home evictions. We have ongoing work examining the extent to which nursing homes meet CMS requirements for facility-initiated discharges. In this data brief, we will describe the sample of facility-initiated discharges we identified and examined in our ongoing work.

The OIG announcement of ongoing work can also be viewed here.