Failure to Document Transfer Details and Required Notices for a Transferred Resident
Penalty
Summary
Facility staff failed to document the details of a resident’s transfer to another nursing facility. Medical record review on 1/7/26 showed that Resident #9 was admitted on an unspecified date and was transferred out on 12/4/25 to another nursing facility. The resident’s chart did not contain documentation of the reason for the transfer, any written notice of transfer provided to the resident or the resident’s representative, or a completed discharge summary. In an interview on 1/7/26 at 1:17 PM, the VP of Clinical Services confirmed that staff did not document the details of this transfer. These findings were identified during a complaint survey and were evident for 1 of 3 residents reviewed for transfers, demonstrating that required documentation and notification related to the resident’s transfer, needs, appeal rights, or bed-hold policies were not present in the medical record for this resident.
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