Failure to Provide Required Bed-Hold Notices Upon Hospital Transfer
Penalty
Summary
The facility failed to provide required written bed-hold notices to residents or their representatives at the time of transfer for hospitalization, as required by its Bed Hold Notice Upon Transfer policy dated 8/1/25. The policy stated that at the time of transfer for hospitalization or therapeutic leave, the facility would give written notice specifying the duration of the bed-hold policy and information about return to the next available bed, and that a signed and dated copy of this notice would be kept in the resident’s file. Record review for Resident #166 showed a discharge to the hospital on [DATE] with no completed and signed bed-hold notice for 10/16/25. Record review for Resident #177 showed a discharge to the hospital on [DATE] with no completed and signed bed-hold notice for 12/22/25. During interview, LPN K stated that the discharging nurse should document on the bed-hold form whom they spoke with regarding the resident’s discharge and the bed-hold policy, and that the reason for discharge and all sections of the form should be completed. In a separate interview, the Administrator stated he would expect bed-hold notices to be given to the resident or resident representative before the resident leaves the facility and that the form should be filled out and signed. Despite these expectations and the written policy, the records for the two hospitalized residents lacked the required completed and signed bed-hold notices.
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