Failure to Provide Required Transfer and Bed Hold Notifications
Penalty
Summary
The facility failed to provide required written notifications regarding transfer, discharge, and bed hold policies for two residents who were transferred to the hospital. For one resident, the medical record indicated a hospital transfer, but there was no documentation that a written notification of discharge or an explanation of the bed hold policy was sent to the resident or their responsible party. Despite requests to the DON for documentation related to all hospitalizations in the past six months, only a written notification for a previous transfer was provided, and no evidence was presented for the transfer in question. The facility's policy referenced notifying the campus manager and maintaining a bed hold authorization or decline form, but did not address the requirement for written notification of transfer or reference the ombudsman log. For the second resident, interview and record review confirmed a hospital transfer, but the resident was not listed on the facility's ombudsman transfer notification log for the relevant month. This indicates that the facility did not notify the ombudsman of the resident's transfer as required. The findings are based on interviews, record reviews, and examination of facility policies and logs, which revealed gaps in documentation and notification processes for resident transfers and bed hold policies.