Failure to Provide Required Discharge and Bed-Hold Notifications
Penalty
Summary
The facility failed to provide required discharge notifications and bed-hold policy information for two residents during the discharge process. For one resident with a history of anxiety and depression, the State Long-Term Care (LTC) Ombudsman did not receive notification of the resident's discharge to a psychiatric hospital. The Nursing Home Administrator (NHA) was unable to provide documentation that notifications were sent to the ombudsman's office, and the resident was not listed on the facility's discharge log for the relevant month. Interviews and record reviews confirmed that the required notification was not completed. For another resident with muscle weakness and hemiplegia following a cerebral infarction, the facility did not provide the resident's Durable Power of Attorney (DPOA) with written notice of the bed-hold policy when the resident was transferred to the hospital. The NHA confirmed that the bed-hold notice was not provided. These failures were identified through interviews, record reviews, and correspondence with the LTC Ombudsman.