Please see the attached Letter to Administrators and Transfer Discharge Tip Sheet-Certified 4.28.25 from the Long-Term Care Ombudsman’s office to clarify newly issued guidance, provided via CMS QSO-25-14-NH, regarding expectations of permitting residents to return to the Nursing Home, referenced herein as the “facility,” following transfer to an acute care setting. This correspondence clarifies the requirements for when the facility transfers or discharges a resident under any circumstances and documentation required for transfers or discharges, and the email address to where a facility is to send copies of discharge notices to the Long-Term Care Ombudsman Program. To support this information, enclosed are a Question and Answer guide and a document that lists county-specific contact information for the Long-Term Care Ombudsman Program.