Failure to Provide Bed Hold Notices During Hospital Transfers
Penalty
Summary
The facility failed to provide written bed hold notices to residents or their representatives at the time of transfer to the hospital for four sampled residents. Record review showed that each of these residents was hospitalized, but there was no documentation in their electronic health records indicating that the required bed hold notice or transfer form was given. The residents involved had various diagnoses, including dementia, diabetes, rheumatoid arthritis, COPD, hip pain, depression, and degenerative disc disease. Some residents were unable to make their needs known, while others were able to communicate. During an interview, the facility administrator confirmed that the expectation was for bed hold and transfer forms to be provided to residents upon transfer to the hospital. However, for all four residents reviewed, this documentation was missing at the time of their respective hospitalizations.