F0628

B

Failure to Provide Required Written Transfer/Discharge and Bed-Hold Notices

Farmington, Maine Survey Completed on 01-22-2026

Penalty

No penalty information released

Summary

The deficiency involves the facility’s failure to provide required written transfer/discharge and bed-hold notices, including cost of care information, to residents and/or their legal representatives when residents were transferred to an acute care hospital. For one resident admitted in January 2024, the clinical record showed that the resident was transported to an acute care hospital on a specified date, but there was no documentation that the resident or the resident’s representative received a written transfer/discharge notice or a written bed-hold notice for that transfer.

For another resident admitted in October 2022, the clinical record showed multiple transfers to an acute care hospital on several dates, including an Emergency Department visit followed by an admission for an intestinal blockage. Nursing progress notes documented communication with a gastroenterologist, the decision by the team to send the resident to an alternate ED, and the subsequent hospital admission. Additional record review showed another hospital transfer and admission on a later date. However, the record lacked evidence that the resident’s representative received written transfer/discharge notices and written bed-hold notices for any of these transfers. During an interview, the LSW confirmed there was no evidence of such notices for the identified transfers and stated that one ED transfer was considered a scheduled appointment, and therefore she believed notices were not required.