Failure to Provide Written Transfer Notice and Bed Hold Policy Upon Hospitalization
Penalty
Summary
The facility failed to provide a written notice of transfer and information regarding the bed hold policy to a resident and/or their family when the resident was hospitalized. The resident's electronic medical record showed an admission and subsequent discharge after being sent to the emergency department due to being unredirectable and walking towards traffic, which posed a safety concern. Documentation in the EMR did not show that the resident or their family received a written notice of transfer or information about the facility's bed hold policy at the time of hospitalization. During interviews, the resident's emergency contact confirmed not being informed or receiving any written notice or bed hold information, and the facility social worker stated that only verbal notice was typically given and documented in a progress note, with no awareness of a specific written notice policy. The facility administrator confirmed that a written notice and bed hold policy should have been uploaded to the EMR but were not present for this resident. No bed hold or written notice of transfer policy was provided for review.