Failure to Provide Bed Hold Policy Documentation at Discharge
Penalty
Summary
The facility failed to provide required documentation of the bed hold policy to a resident or the resident's representative at the time of discharge to the hospital. Review of the clinical record for a resident with diagnoses including weakness, Crohn's disease, and dementia showed no evidence that the bed hold policy was given at discharge. There was also no documentation that the policy was sent by email or postal service to the resident's representative if needed. Facility policy required that residents or their designated representatives be informed of the bed hold policy in writing at admission, at the time of transfer to a hospital (unless an emergency), or at the time of therapeutic leave exceeding 24 hours. Written notification at the time of transfer was to include the Notice of Transfer and Discharge and a copy of the bed hold policy. In the event of emergency hospitalization, written notice was to be provided within 24 hours. The clinical record lacked documentation that these requirements were met for the resident in question.