Failure to Provide Bed Hold Policy Notification Upon Hospital Transfer
Penalty
Summary
The facility failed to provide a copy of the bed hold policy to residents or their representatives at the time of transfer to the hospital for two residents who were hospitalized. According to the facility's own bed hold policy, a copy of this policy is required to be given to residents at admission and each time they are transferred from the facility. For both residents reviewed, there was no documentation in the electronic health record or nurse's progress notes that the bed hold policy was provided to either the residents or their representatives during their respective hospitalizations. One resident had diagnoses including chronic obstructive pulmonary disease, dementia, and required moderate assistance with daily activities. This resident was able to communicate but was cognitively confused. The other resident had diagnoses such as metabolic encephalopathy, chronic obstructive pulmonary disease, and was dependent for all functional abilities, unable to participate in a mental status interview. In both cases, despite their significant medical needs and vulnerability, there was no evidence that the required bed hold policy notification was given at the time of their transfer to the hospital.