Failure to Provide Required Bed-Hold and Transfer/Discharge Notices
Penalty
Summary
The deficiency involves the facility’s failure to provide required bed-hold notices and transfer/discharge notices to residents or their representatives in connection with hospital transfers. Record review and interviews showed that five residents did not receive proper notification of the facility’s bed-hold policy, including information on reserve payment, and did not receive notice before transfer or discharge indicating the specific reason for the transfer/discharge. One cognitively intact resident (R43), who scored 15/15 on the BIMS, was transferred to the hospital on 1/5/26 with a summary sent, but the social worker reported there was no bed-hold notice for this transfer. Another resident (R8), with moderate cognitive impairment (BIMS 9/15), was admitted to the hospital for hip pain related to an injury of unknown origin, and there was no bed-hold notice provided to the resident or representative for that transfer. Additional residents were similarly affected. One resident (R7) was transferred to the hospital for change in condition on two separate occasions and did not receive a notice of bed-hold indicating reserve payment or a notice before transfer/discharge stating the specific reason for the transfer/discharge. Two cognitively intact residents (R2 and R14), each scoring 15/15 on BIMS, had bed-hold forms signed by care managers from managed care organizations indicating they wished to reserve their rooms; however, R2’s bed-hold notice did not include the daily rate for reservation, and R14 did not receive a bed-hold notice for a subsequent hospital transfer. During the survey, the social worker responsible for transfers was unavailable due to illness, and the assistant nursing home administrator reported not being aware of the transfer/discharge process and needed to consult the nursing home administrator, but no follow-up was provided by survey exit.
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