Failure to Provide Written Notice of Transfer
Penalty
Summary
The facility failed to provide written notices of a facility-initiated hospital transfer to a resident and their representative. This deficiency was identified for one resident out of the 18 sampled. The resident, who had been admitted to the facility with chronic obstructive pulmonary disease, was transferred to the hospital on November 20, 2024. However, there was no documented evidence that the resident or their responsible party received a written notice of the transfer and the reason for it. This was confirmed during an interview with the Nursing Home Administrator, who acknowledged the lack of documentation for the transfer notice.
Plan Of Correction
Community cannot correct past practices. Community cannot correct past practices. 3. To prevent from re-occurring, DON/designee will educate licensed staff on transfer/discharge paperwork requirement. DON/designee will educate BOM to ensure paperwork has been received timely. 4. To monitor and maintain compliance, DON/designee will audit 3 transfers per week x 4 then monthly x 2 to ensure discharge/transfer paperwork has been received. All findings will be brought to QAPI committee.