Failure to Provide Required Written Transfer and Bed-Hold Notices for Hospitalized Resident
Penalty
Summary
The facility failed to provide required written transfer and bed-hold documentation for a resident who was hospitalized. Record review showed that the resident was admitted to the facility on an unspecified date and was later sent to the hospital due to blood in her vomit, as documented in a nurse’s progress note dated 11/12/25. However, review of the resident’s medical record revealed there was no documented transfer notice or bed-hold notification associated with this hospital transfer. During an interview on 01/30/26 at 8:53 AM, the Social Services Director confirmed that staff did not complete a written Transfer Notice or a written Bed Hold Notification for the resident’s transfer to the hospital, and that a written copy of the Transfer Notice was not sent to the Ombudsman. The Social Services Director also confirmed that staff were expected to complete a written Transfer Notice and Bed Hold Notification for residents transferred to the hospital and to send a copy of the written Transfer Notice to the Ombudsman, but this did not occur for this resident’s hospitalization.
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.