Inaccurate Medical Record Documentation for Resident Transfers
Penalty
No penalty information released
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Summary
The facility failed to maintain accurate and complete medical records for one resident, as evidenced by incorrect dates documented on transfer forms related to the resident's multiple transfers to an acute care facility. During a record review, it was found that the dates on two separate transfer forms did not match the actual dates of transfer, with one form listing 02/02/23 instead of 03/26/24, and another listing 03/26/24 instead of 08/09/24. The Director of Nursing confirmed the errors and attributed them to nurses sometimes being in a hurry and not reviewing the transfer form dates.