An Initiative to Address Facility Initiated Discharges that Violate Federal Regulations
• Federal regulations allow facilities to initiate discharges of residents only in specific instances. Despite these protections,
discharges which violate Federal regulations continue to be one of the most frequent complaints made to State Long Term Care
• The Centers for Medicare & Medicaid Services (CMS) has begun an initiative to examine and mitigate facility-initiated discharges
that violate federal regulations. CMS is examining State survey agency’s intake and triage practices for these type of discharge
complaints, developing examples of inappropriate and appropriate discharges for surveyors, identifying best practices for
nursing homes, developing training and evaluating enforcement options for these types violations.
• Civil Money Penalty (CMP) Reinvestment Projects Assistance. CMS is encouraging States to pursue CMP-funded projects that
may help prevent facility initiated discharges that violate federal regulations.