Failure to Provide Bed-Hold Policy Notification and Discharge Summaries
Penalty
Summary
The facility failed to provide required written notification of its bed-hold policy, including the duration a bed can be held during a leave of absence and the associated daily cost, to residents and/or their representatives at the time of transfer to a hospital. This deficiency was identified for multiple residents whose clinical records lacked evidence of such notification upon their transfer. Additionally, the facility did not ensure that necessary clinical information was communicated to the receiving healthcare provider during the transfer process for at least one resident. These failures were confirmed by the Director of Nursing, who acknowledged the absence of documentation in the affected residents' records. Furthermore, the facility did not complete or provide discharge summaries for several residents who were discharged, including one resident discharged to home. The discharge summaries, which should include a recapitulation of the resident's stay and a final summary of their status, were missing from the clinical records and were not provided to the residents or receiving facilities as required by facility policy. The deficiencies were identified through review of facility policies, clinical records, and staff interviews.