Failure to Provide Written Bed-Hold Notice at Time of Hospital Transfer
Penalty
Summary
The facility failed to provide a hospitalized resident with written notice of its bed-hold policy at the time of transfer. The facility’s undated document titled “RESIDENT BED HOLD NOTICE” states that whenever a resident is transferred for hospitalization, the resident and/or representative must be informed of the facility’s policy concerning holding the bed. Record review showed that the resident, who had been readmitted in November 2025 with diagnoses including acute respiratory failure with hypoxia, experienced an unplanned discharge and transfer to an acute care hospital on 1/3/2026, with an anticipated return to the facility. Further review of the clinical record did not reveal any evidence that written notice of the bed-hold policy was provided to the resident at the time of this transfer. In an interview on 1/30/2026, the Social Worker was unable to provide documentation that the resident had been notified in writing of the bed-hold policy when transferred on 1/3/2026. This lack of written notification at the time of hospital transfer for a resident expected to return constitutes the identified deficiency.
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