Failure to Provide Bed-Hold Policy Notification Upon Hospital Transfer
Penalty
Summary
The facility failed to provide written notice of its bed-hold policy to residents or their representatives at the time of transfer to the hospital for five out of ten residents reviewed. Clinical record reviews for multiple residents with significant medical conditions, such as acute respiratory failure, acute kidney injury, and gram-negative sepsis, showed that these individuals were transferred and admitted to the hospital. However, there was no documentation in their records indicating that the required bed-hold policy notification was given at the time of transfer. Interviews with the Director of Nursing confirmed that neither the residents nor their representatives received the bed-hold policy information upon discharge to the hospital. This deficiency was identified through facility policy review, clinical record review, and staff interviews, and was cited under 28 Pa. Code 201.14(a) regarding the responsibility of the licensee.