Failure to Provide Required Transfer and Bed-Hold Notices
Penalty
Summary
The facility failed to provide required written notifications to residents and/or their representatives regarding transfers and the facility's bed-hold policy during hospitalizations. Specifically, for one resident who requested transfer to the hospital due to rectal pain, there was no documented evidence that either the resident or her responsible party received written notice of transfer or information about the facility's bed-hold policy. Interviews with facility staff confirmed that these notifications were not provided. Additionally, for two other residents who were transferred to the hospital for medical reasons, there was no documentation that they or their representatives received written notice of the facility's bed-hold policy at the time of transfer. Further review revealed that another resident was transferred to the hospital on two separate occasions for hypotension, and in both instances, there was no evidence that the resident received written information regarding the facility's bed-hold policy or a transfer notice containing all required information, such as contact details for the State Long-Term Care Ombudsman. Staff interviews confirmed the absence of these required notifications and documentation for all affected residents.