Failure to Notify Ombudsman of Emergency Transfer
Penalty
Summary
The facility failed to notify the State's Long-Term Care Ombudsman in writing of an emergency transfer for one of three sampled residents reviewed for transfer and discharge requirements. Record review showed that a resident was admitted to the facility and subsequently had an emergency transfer to a local hospital. Examination of the facility's Ombudsman notification list for emergency transfers during the relevant period revealed that this resident's transfer was not included, and there was no evidence that the Ombudsman had been notified as required. The Social Services Director, who was responsible for maintaining the accuracy of the Ombudsman notification list, confirmed during interview and record review that the emergency transfer had occurred and was not reported. Additionally, when requested, the facility did not provide a policy regarding notification of the Ombudsman for emergency transfers by the time of exit.