Failure to Provide and Document Bed-Hold Policy at Time of Hospital Transfer
Penalty
Summary
The deficiency involves the facility’s failure to provide and document required bed-hold policy information to a resident or the resident’s representative at the time of transfer to the hospital. Resident 78, who had diagnoses including repeated falls, history of falling, and dementia, was found on the floor complaining of back pain and was transferred to the hospital by EMS, as documented in a progress note dated 6/25/25. Review of the clinical record showed no indication that bed-hold policy information was given to the resident or the resident’s representative at the time of this transfer. In interviews, Social Services staff stated that staff are expected to document when bed-hold policy information is provided during a hospital transfer and confirmed that the transfer note contained no such documentation. It was also determined that the facility did not have a policy addressing the provision of bed-hold information to residents and their representatives at the time of transfer, in violation of 410 IAC 16.2-3.1-12(a)(25)(A), 410 IAC 16.2-3.1-12(a)(25)(B), and 410 IAC 16.2-3.1-12(a)(26).
We Help Long-Term Care Teams Stay Survey-Ready
We process and analyze inspection reports and plan of correction using AI to extract insights and trends so providers can improve care quality and stay ahead of compliance risks.