Failure to Provide Complete Transfer Notification and Bed Hold Information
Penalty
Summary
The facility failed to provide required written notifications of transfer and bed hold acknowledgements for a resident who experienced multiple hospital transfers. Specifically, the facility was unable to produce documentation of written notification of transfer and bed hold acknowledgement for one of the resident's hospital transfers, and the notification provided for another transfer was incomplete. The written notice did not include information on how to file an appeal, who could assist with the appeal, or the correct agency and contact information for filing an appeal. Additionally, the facility did not provide documentation that the State Long Term Care Ombudsman (LTCO) was notified of the resident's transfers as required. The resident involved had a history of hypertension, hyperlipidemia, a cardiac pacemaker, and atherosclerotic heart disease, with documented intact cognition and a need for assistance with self-care and mobility. The facility's own policy required that written information about the state's bed hold duration and payment amount be provided before transfer, and that the bed hold policy be given to the resident, their representative, and the LTCO on the first business day following an emergency transfer. However, the facility did not consistently follow these procedures, as evidenced by missing or incomplete documentation and lack of LTCO notification.