Failure to Notify Ombudsman of Resident Hospital Transfer
Penalty
No penalty information released
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 notify the Long-Term Care Ombudsman of a resident's transfer to a hospital. Record review showed that a resident with severe cognitive impairment, as indicated by a BIMS score of 5, was hospitalized for surgical repair of the right femur and later reentered the facility. Documentation review confirmed the resident was absent from the facility during the hospital stay, but the facility's Notice of Transfer Form to the Ombudsman did not include this resident. Interviews with the resident's family, Social Services, and the Administrator confirmed the omission and revealed that the facility did not have a policy for reporting such transfers to the Ombudsman, instead relying on state and federal regulations.