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 R47, who was admitted to the facility with diagnoses of intellectual disabilities, dementia, and major depressive disorder, was transferred to the hospital and returned to the facility. However, there was no documented evidence that the facility provided a copy of the written notice, including the reason for the transfer, to the Ombudsman for the hospitalization. Similarly, Resident R76, admitted with high blood pressure, depression, and dementia, was transferred to the hospital and did not return to the facility. The facility also failed to document evidence of providing the required notice to the Ombudsman for this resident's hospitalization. During an interview, it was confirmed that the necessary information was not disseminated to the Ombudsman for both residents.
Plan Of Correction
1. Facility will generate a form to be sent with the previous hospitalizations/discharges document that was being sent to the Office of Long-Term Care Ombudsman for hospitalizations and discharges. 2. NHA/designee to educate Director of Social Services on appropriate notification to be sent to the Office of Long-Term Care Ombudsman for hospitalizations and discharges. 3. NHA/designee to audit documents sent to the Office of Long-Term Care Ombudsman for hospitalizations and discharges 1x/week for 3 weeks and monthly x 3 months. 4. Results to be submitted to QAPI for review and approval.