Failure to Provide Required Bed-Hold Policy Notifications Upon Hospitalization
Penalty
Summary
The facility failed to provide residents and/or their representatives with written notice of the facility's bed-hold policy for residents whose records were reviewed for discharges. Record review and staff interviews showed that 3 of 6 residents in the discharge sample did not receive required bed-hold notifications. For one resident with dementia, heart disease, and diabetes who was hospitalized between specified dates, the medical record contained no documentation that a bed-hold notification was provided to her or her representative. The Admissions Director confirmed in an interview that, although she spoke with the resident's POA, she did not provide a bed-hold document. Another resident with hemiplegia, hemiparesis, COPD, ESRD, depression, bipolar disorder, and anxiety disorder was admitted and later readmitted to the facility, and was subsequently admitted to the hospital; however, there was no documentation that a bed-hold notification was provided to her or her representative at the time of hospitalization. A third resident with a urinary tract infection, diabetes, heart failure, and chronic kidney disease was also admitted to the hospital, and her record similarly lacked any documentation of a bed-hold notification. The Administrator stated that the facility did not have any record of a bed-hold notification being provided for the second and third residents.
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