Failure to Communicate Required Information During Hospital Transfer
Penalty
Summary
The facility failed to ensure that appropriate information was communicated to the receiving health care institution or provider prior to the transfer of a resident to the hospital. Specifically, for a resident admitted with heart disease and kidney disease, there was no evidence in the clinical record that the facility provided the contact information of the practitioner responsible for the resident's care, advance directive information, or details regarding medications (including when last received) before the resident was sent to the hospital for symptoms including nausea, diarrhea, general malaise, cold sweats, and dizziness. During an interview, the Director of Nursing Services was unable to provide documentation confirming that this information was given to the hospital prior to the resident's transfer.