Failure to Transmit Medical Records to Hospital
Penalty
Summary
The facility failed to ensure that the treating hospital received the necessary medical records to provide continuity of care and appropriate treatment for a resident. A phone interview with the complainant revealed that the hospital did not receive the required records to initiate care. Review of the resident's clinical record showed no documentation verifying that the records were faxed to the hospital. Interviews with the DON and NHA indicated that the ADON attempted to fax the records, but review of the facility's fax log confirmed the transmission was unsuccessful. Further, the ADON did not wait for a fax confirmation sheet, and the facility did not contact the hospital to verify receipt of the records. As a result, the resident's medical records were not successfully transmitted, causing a delay in care.