Failure to Provide Bed Hold Notice During Resident Transfer
Penalty
Summary
The facility failed to provide appropriate bed hold notice to a resident's representative during a facility-initiated transfer to the hospital. This deficiency was identified for one of four residents reviewed for transfers. The resident in question, who had severely impaired cognition, was transferred to a local hospital for evaluation following a seizure. Despite the transfer, there was no documentation in the resident's clinical record indicating that the resident's representative was provided with the required written information about the duration of the state bed-hold policy. An interview with the Social Services Director confirmed the absence of documented evidence that the resident's representative was notified of the bed hold policy at the time of the transfer. The lack of documentation was corroborated by the Social Services Director, who acknowledged that no such records were available for review during the survey. This oversight is a violation of the regulatory requirements for notifying residents or their representatives about bed-hold policies during transfers.
Plan Of Correction
R136 is now aware of MPAC's bed hold policy. The Social Services team have been educated by the NHA on the importance of adherence to regulations re: F625. All discharges, transfers, and discharges have been reviewed by social services staff for the past three months. There were no further discrepancies in notification of bed hold policy. Notification of resident representatives re: facility bed hold policy will be reviewed/audited monthly for accuracy by Social Services. Results will be reported monthly in QAPI.