Failure to Provide Bed-Hold Notifications and Payment Information Upon Resident Transfer
Penalty
Summary
The facility failed to provide required written bed-hold notifications to two residents or their representatives upon transfer to acute care hospitals. In both cases, documentation showed that while an initial bed-hold notification was given at admission, the second notification, which should have been completed and provided at the time of transfer, was left blank and not delivered. Interviews with staff, including the assistant director of nursing and the licensed vocational nurse involved in the transfer, confirmed that the bed-hold notification forms were not completed or provided as required by facility policy. Additionally, the facility did not provide information regarding private pay or reserve bed-payment requirements to the responsible person of one resident prior to the resident's transfer to another facility. The business office manager confirmed that this information was not given. These actions were inconsistent with the facility's own policy, which requires that residents or their representatives be notified of bed-hold duration and payment requirements both at admission and prior to transfer or therapeutic leave.