Failure to Provide Bed Hold Policy Notification During Hospital Transfers
Penalty
No penalty information released
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Summary
The facility failed to provide required notification of its Bed Hold policy to a resident or her Power of Attorney (POA) during two separate hospitalizations. Record review showed that the resident was discharged to the hospital on two occasions, but there was no documentation in the Electronic Health Record (EHR) or progress notes indicating that either the resident or her POA was informed about the facility's Bed Hold policy. Staff interview confirmed that the Bed Hold process was not followed for these transfers, and the facility's policy requires that notice be given to the resident or representative upon transfer, with follow-up contact and documentation within 24 hours. The facility census at the time was 86 residents.