Failure to Provide Timely Bed Hold Notice and Written Transfer Notification
Penalty
Summary
The facility failed to provide a written bed hold policy and did not issue written notification as soon as practicable for a resident who was transferred to the hospital. The resident, who had diagnoses including osteoarthritis of the right hip, chronic pain, anxiety, and depression, was documented as having moderately impaired cognition and required assistance with activities of daily living. The resident was transferred to the hospital due to a large amount of blood in stool, but the electronic health record did not contain evidence that a bed hold notice or written notification of the transfer was provided to the resident or their representative. Interviews with facility staff revealed that there was no form completed by the nurse at the time of transfer, and the bed hold notification could be completed in the EHR either on the day of transfer or the next business day. However, in this instance, no bed hold was completed at the time of the resident's transfer. The facility's policy required providing a notice of transfer and the bed hold notice to the resident and representative, but this was not followed in the case reviewed.