Incomplete Bed Hold Notification Upon Resident Transfer
Penalty
Summary
The facility failed to provide a completed written Bed Hold notification to a resident upon transfer to a general acute care hospital. The resident, who had diagnoses including psychotic disorder with hallucinations and major depressive disorder, was cognitively intact and able to make decisions at the time of transfer. Documentation review showed that the Bed Hold Notification form was incomplete, with the section for the resident or representative's response left blank, including the resident's desire for bed hold, date and time of notification, and the facility representative's signature. There was no documentation indicating that the resident refused to sign the form. During an interview and record review, the DON confirmed that staff did not notify the resident of the Bed Hold policy upon transfer and acknowledged the lack of required documentation. The facility's policy required that residents or their representatives be informed in writing of their right to exercise the bed hold provision in the event of a transfer to a hospital or therapeutic leave, but this was not done in this instance.