Failure to Provide Bed-Hold Notice at Time of Hospital Transfer
Penalty
Summary
The facility failed to provide a required bed-hold notice to a resident or the resident’s representative at the time of transfer to the hospital, as identified through record review and staff interview. One resident, admitted with multiple diagnoses including paranoid schizophrenia and anxiety, was transferred to the hospital on 7/19/25 and returned on 8/4/25. Review of this resident’s medical record showed that the facility’s bed-hold document had not been completed for this hospitalization. In an interview on 1/22/26 at 4:03 PM, the Administrator confirmed that the bed-hold notice had not been completed at the time of transfer and acknowledged that it should have been done. This deficiency involved the facility’s failure to ensure residents were informed of their rights related to bed-hold and return to their former bed or room at the time of transfer, as required by policy and regulation, for 1 of 4 residents reviewed for transfers.
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