Failure to Notify Ombudsman of Resident Transfers
Penalty
No penalty information released
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Summary
The facility failed to notify the Ombudsman prior to the transfer of three residents who were sent to the hospital following changes in their conditions. Record reviews and staff interviews confirmed that, for each of these residents, there was no documentation or evidence that the Ombudsman had been informed of their transfers. The Nursing Home Administrator and the Director of Nursing both acknowledged during interviews that they were unable to provide proof of such notifications for the relevant hospitalizations. This deficiency was identified through the review of medical records and direct questioning of facility leadership regarding the required notifications.