Failure to Communicate Resident Information and Bed-Hold Policy During Transfers
Penalty
Summary
The facility failed to ensure that necessary resident information was communicated to the receiving health care provider during facility-initiated transfers for two residents. Specifically, for these residents, there was no documented evidence that information such as care plan goals, advanced directive details, specific instructions for ongoing care, resident representative information, and all information necessary to meet the residents' needs at the receiving facility was provided at the time of transfer. This was confirmed through clinical record review and staff interviews, which indicated that the required transfer documentation was not completed or sent as per facility policy. Additionally, the facility did not provide written notification of the bed-hold policy to residents or their representatives at the time of hospital transfer for three residents. Clinical record reviews showed no evidence that the required bed-hold policy notice was given or mailed within the specified timeframe outlined in facility policy. Staff interviews further confirmed that this notification was not completed for any of the sampled residents who were transferred to the hospital.