Failure to Notify Ombudsman of Resident Transfers
Penalty
Summary
The facility failed to provide a transfer notice to a representative of the Office of the Long-Term Care Ombudsman Division for two residents. Resident R39, who was admitted with diagnoses including dementia, diabetes mellitus, and hyperlipidemia, was transferred to the hospital and returned to the facility without documented evidence of a written transportation notification to the Ombudsman. Similarly, Resident R52, admitted with surgical aftercare, muscle weakness, and venous insufficiency, was transferred to the hospital and did not return, also lacking documented evidence of notification to the Ombudsman. The Director of Nursing confirmed during an interview that the facility did not provide the required transfer notices for these two residents, which is a violation of resident rights as per 28 Pa. Code 201.29(a)(c)(3)(2).
Plan Of Correction
The administrator sent the facility initiated discharge report for the month of December, 2024 to the State Long Term Care Ombudsman at LTC-Ombudsman@pa.gov on January 10, 2025. All discharged residents from Longwood had the potential to be affected by the deficient practice. There were no known negative outcomes. The administrator and social services director were re-educated by the email guidance given by the office of the long term care ombudsman on January 10, 2025. The Social Services Director or Administrator/designee will submit the discharge report to the state long term care ombudsman before the last day of the following month every month going forward. The reports will be submitted at the next two Quality Assurance Committee meetings to ensure compliance. Any identified non-compliance will be addressed at the time of discovery and reviewed for further recommendations.