Failure to Provide Written Bed Hold Notification at Hospital Transfer
Penalty
Summary
The facility failed to provide a written bed hold notification, including information about reserved bed hold payment, to a resident or the resident's representative at the time of transfer to the hospital. The facility's policy, dated 10/2022, requires that all residents, regardless of payer source, receive written notice about bed hold and return policies at the time of transfer. The resident involved had a history of congestive heart failure, COPD, and respiratory failure, and was transferred to the hospital. Review of the clinical record showed no evidence that the required written notice was given at the time of transfer. Facility staff confirmed that the notification was not provided because the resident's payer source was Medicaid, and acknowledged that the written policy should have been followed.