Failure to Maintain Written Hospital Transfer Agreement Policy and Documentation
Penalty
Summary
The facility failed to maintain and provide a written transfer agreement policy and documentation of a current transfer agreement with a hospital, as required for managing resident transfers when medically necessary. During document and policy review, surveyors were unable to obtain any written policy outlining the process for transferring residents to a hospital for acute care services. An interview with the Administrator revealed that she could not provide the requested transfer agreement policy at the time of survey, explaining that binders containing important documents had been relocated following a recent facility-wide evacuation, but the specific documentation could not be produced. Additionally, the facility was unable to provide any evidence of a current written transfer agreement or documentation verifying formalized arrangements with a hospital to ensure timely transfer of residents requiring acute care services. No specific residents or clinical situations were identified in the report; the deficiency centered on the absence of required written policies and formalized transfer arrangements at the facility level.
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