Failure to Notify Ombudsman of Resident Discharge and Hospital Transfer
Penalty
Summary
The facility failed to provide required written notification to the State Ombudsman regarding the discharge and hospital transfer of two residents. For one resident, there was no evidence in the clinical or electronic health record that notification was sent to the ombudsman following two separate hospital discharges. Additionally, the list of residents whose discharge or transfer was forwarded to the ombudsman did not include this resident. For another resident, documentation showed that written notification of a planned discharge was sent to the ombudsman only after the discharge had occurred, rather than at least 30 days in advance as required. The Nursing Home Administrator confirmed that notifications are typically sent monthly and attributed the late notification to an oversight due to the low number of discharges.