Failure to Communicate Required Resident Information at Discharge
Penalty
Summary
The facility failed to communicate required resident information to the receiving provider during the discharge of one resident. The resident, who had diagnoses including malignant neoplasm of the colon and chronic pain, was cognitively impaired and required substantial assistance with transfers. On the day of discharge, the registered nurse responsible was not aware of the discharge until informed by another staff member as the resident was preparing to leave. As a result, the nurse did not have the resident's paperwork ready and was unable to provide a report to the receiving facility. There was no documentation that the necessary paperwork, such as the medication list, progress notes, care plan, and face sheet, was sent with the resident, contrary to the facility's policy and procedures for discharge communication.