Failure to Provide Required Written Transfer Notifications and Ombudsman Information
Penalty
Summary
The facility failed to provide written notification to residents and their representatives regarding transfers to the hospital, including the reasons for the transfers and information about the Ombudsman, as required. Clinical record reviews for five residents who were transferred to the hospital after a change in condition revealed no documented evidence that written transfer notices were given to the residents or their responsible parties. Additionally, there was no documentation that copies of these notices were sent to a representative of the Office of the State Long-Term Care Ombudsman. During an interview, the Director of Nursing confirmed that the required notifications and written copies of transfer notices were not sent to the residents, their representatives, or the Ombudsman for these transfers. The deficiency was identified for all five residents reviewed who experienced a transfer out of the facility due to a change in condition.