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F0628
D

Failure to Provide Written Transfer Notification and Bed-Hold Policy Information

Napa, California Survey Completed on 07-25-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to provide a written transfer notification to a resident or the resident's representative when the resident was transferred to an acute care hospital. The resident, who had a diagnosis of chronic respiratory failure, was observed to be jaundiced and confused, prompting the physician to order a hospital transfer. Documentation in the progress notes confirmed the transfer process, including the time the resident left the facility with emergency medical technicians. Upon review, the section of the Bed Hold Policy and Notification form that should have been completed at the time of transfer was found to be blank. This section is intended to document the resident's name, transfer details, and confirmation that the resident or representative was informed of their rights regarding bed-hold policies. The DON confirmed during an interview that there was no documented evidence that a written transfer notification was provided at the time of the resident's transfer.

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