Failure to Provide Written Bed Hold Policy Notification Upon Hospital Transfer
Penalty
Summary
The facility failed to provide written notification of the bed hold policy to a resident and/or the resident's representative when the resident was transferred to an acute care facility due to a change in medical condition. Medical record review showed that the resident was admitted to the facility and later sent to an acute care hospital, but there was no written evidence in the medical record that the bed hold policy was given at the time of transfer. Documentation reviewed, including the change in condition transfer form, nurse's progress notes, and the eINTERACT SBAR Summary, did not indicate that the required notification was provided. Staff interviews confirmed that while the bed hold policy is typically signed and sent with the resident, no documentation could be produced to verify that this occurred for the resident in question.