Failure to Provide Bed Hold Notification Upon Hospital Transfer
Penalty
Summary
A deficiency occurred when the facility failed to provide the required bed hold notification to a resident or the resident's representative upon transfer to the hospital. The resident, who had a history of hemiplegia, hemiparesis following a stroke, aphasia, and atrial fibrillation, was cognitively intact and required assistance with activities of daily living. Documentation showed the resident was transferred to the hospital and the responsible party was notified of the transfer. However, there was no evidence that the bed hold form was signed by the resident or sent to the resident's family. Facility policy requires that residents or their representatives be informed in writing of the bed-hold and return policy prior to transfers and therapeutic leaves. An interview with the ADNS confirmed that the bed hold form was neither signed by the resident nor mailed to the family, contrary to facility policy. Review of the clinical record and facility documentation confirmed the absence of the required written notification.