Failure to Provide Transfer Training to Family Prior to Discharge
Penalty
Summary
The facility failed to ensure that transfer training was provided to the family of a resident who was being discharged, resulting in an unsafe discharge. The resident, who was cognitively intact but required moderate assistance with transfers, was admitted for rehabilitative services after previously being independent with mobility prior to hospitalization. Documentation showed that the resident's spouse was not trained or assessed for the ability to provide necessary transfer assistance at home. Staff interviews confirmed that there was no record of transfer training being provided to the spouse, and discharge planning did not include a formal conference close to the discharge date. Further, the resident's progress towards discharge was not documented after weekly skilled rounds, and there was no evidence that the spouse was prepared to safely care for the resident post-discharge. The spouse later reported not receiving any training and expressed concerns about the resident's safety at home following discharge. The lack of documented training and preparation for the family member responsible for care led to an unsafe discharge process for the resident.