Failure to Permit Resident Return and Complete Required Discharge Process
Penalty
Summary
The facility failed to ensure that a resident was permitted to return following a hospitalization for behavioral evaluation. The resident had been transferred to the emergency room due to increased agitation and verbal aggression, as documented in progress notes and per physician order. After the hospital stay, the hospital care manager reported that the facility refused to readmit the resident, citing prior behavioral issues, and extended this refusal to all facilities owned or operated by the same company. There was no evidence that the facility completed a discharge notice, involved the resident or their representative in the discharge planning process, documented that the resident's needs could not be met, or made efforts to determine reasonable accommodations or interventions to support the resident's return. Additionally, the facility had an available bed at the time the resident's hospital bed-hold expired. The administrator confirmed that the decision to decline readmission was made by the clinical administrative team and acknowledged that no discharge notice was issued.