Failure to Provide Written Notification of Hospital Transfer
Penalty
Summary
The facility failed to provide a written notification of transfer to a resident diagnosed with heart failure and/or the resident's representative when the resident was transferred to the hospital. The electronic medical record documented the transfer and the resident's diagnosis, but lacked any written notification explaining the reason for the transfer. Social Services staff confirmed that while the family was given the bed hold policy and the Ombudsman was notified, no written notification was provided to the resident or representative regarding the transfer. The administrative nurse was unaware of the requirement for written notification and confirmed it was not completed for this transfer. Facility policy requires notification to the resident and representative prior to transfer or discharge.