Failure to Document Bed-Hold Daily Rate on Resident Notices
Penalty
Summary
The facility failed to ensure that residents and their representatives were properly notified of the daily rate required to reserve a bed during a resident's absence, as required by policy and regulation. Specifically, the bed-hold acknowledgement notices provided to residents or their representatives did not include the actual daily rate for bed-hold charges. This omission was identified through record review and interviews, and it was noted that the deficiency had the potential to affect all 53 residents in the facility. Three residents were specifically cited: one was transferred to the hospital and received a bed-hold notice without the daily rate documented; another was transferred to the emergency room and subsequently hospitalized, with the bed-hold notice again lacking the daily rate; and a third resident went on therapeutic leave and signed a bed-hold agreement that also did not specify the daily rate. During an interview, the NHA confirmed that while the rate is reviewed at admission, it was not documented on the bed-hold acknowledgement notices as required.