Failure to Provide Bed Hold Notices Upon Hospital Transfer
Penalty
Summary
The facility failed to provide required bed hold notices to two residents who were transferred to the hospital. According to the facility's Bed Hold and Readmission Policy, residents or their representatives must be informed of the bed hold policy at admission and at the time of transfer to a hospital, with written notification provided at the time of transfer. In cases of emergency hospitalization, notification by telephone or in person is required within 24 hours, with documentation in the medical record. However, for both residents reviewed, there was no evidence in their electronic health records that a bed hold notice was given upon their transfer to the hospital. One resident, who had a history of chest pain, was sent to the hospital for observation and reported not receiving a bed hold notice at the time of transfer. The administrator confirmed that the medical record did not contain evidence of the notice being provided. Another resident, with diagnoses including Type 2 Diabetes Mellitus with Diabetic Neuropathy, Dementia, Chronic Kidney Disease (Stage 3), and Malignant Neoplasm of the Uterus, was sent to the emergency room for constipation, and similarly, there was no documentation of a bed hold notice being issued. Staff interviews confirmed that the required notifications were not completed for these hospital transfers.