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F0628
D

Failure to Provide Bed Hold Policy Documentation Upon Hospital Transfer

Lebanon, Indiana Survey Completed on 05-19-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to provide documentation that the bed hold policy was given to a resident who was transferred to the hospital. The clinical record for a resident with diagnoses including falls, chronic pain, and low back pain showed that the resident sustained a tail bone fracture and was transported to the hospital. Upon review, there was no copy of the bed hold policy in the resident's clinical record. During an interview, the Corporate MDS nurse confirmed that the bed hold policy had not been provided. The facility's own policy requires that residents and their representatives be notified verbally and in writing about the bed hold policy before a transfer to the hospital, but this was not done in this case.

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