Failure to Notify Ombudsman of Resident Transfers and Discharges
Penalty
Summary
The facility failed to notify the Office of the State Long-Term Care Ombudsman regarding residents who were transferred or discharged back to the community or to another nursing facility. According to interview and record review, the social worker reported only sending weekly email notifications to the ombudsman about residents who were hospitalized, excluding those who were discharged to the community or transferred elsewhere. Email records confirmed that only lists of hospitalized residents were sent on multiple occasions, and not all required transfers or discharges were reported. The facility's policy states that a copy of the notice should be provided to the ombudsman for all transfers or discharges, but this was not followed, potentially affecting all 124 residents currently residing in the facility.