Failure to Notify LTC Ombudsman of Resident Transfer
Penalty
Summary
The facility failed to send a required notice of transfer to the Long-Term Care (LTC) Ombudsman for one of two residents who were transferred to the hospital. Record review showed that a resident was transferred to the hospital and did not return to the facility. Interviews with the Social Services Director revealed that, although the department typically notifies the Ombudsman via email about discharges and transfers, there was no documentation in facility records confirming that the Ombudsman was notified of any discharges or transfers for the month in which the resident was transferred. The LTC Ombudsman confirmed that no notifications were received for that month, including for the resident in question. The Administrator acknowledged that the required email was not sent for that month, although documentation was available for subsequent months.