Failure to Provide Bed Hold Notice Upon Hospital Transfer
Penalty
Summary
The facility failed to provide a Bed Hold Notice to a resident or her representative upon her transfer and admission to a hospital. The resident's electronic medical record documented diagnoses including anxiety, hypertension, diabetes mellitus, and heart disease. Her admission Minimum Data Set indicated intact cognition and a need for staff assistance with most activities of daily living. The care plan directed staff to monitor for medication reactions and report abnormal vital signs. On the date of transfer, the resident was admitted to the hospital for respiratory failure and heart issues. Upon review, the facility was unable to provide documentation that a Bed Hold Notice was given to the resident or her representative at the time of discharge to the hospital. Interviews with staff confirmed that the notice was not provided. The facility's own policy required written information about the bed hold policy to be given before transferring a resident to a hospital, but this was not followed in this instance.