Failure to Provide Written Transfer and Bed-Hold Notices: A resident with hip fracture, Alzheimer's disease, and BPH was transferred to the hospital for hematuria, but the facility did not provide the resident's POA with a written transfer notice, appeal rights, state agency contact information, or a written bed-hold notice. The packet sent with the resident contained clinical information only, and the Administrator stated the facility called family but did not send written notice.
A resident with multiple chronic conditions was transferred to the hospital for acute symptoms, and while the facility verbally notified the resident's representative and sent documentation with the resident and to the Ombudsman, it failed to provide the required written notification of the transfer and bed-hold policy directly to the representative.
A resident with multiple chronic conditions was transferred to the hospital for sepsis related to kidney stones, but neither the resident nor their representative received the required written notification regarding the transfer, bed hold policy, or appeal rights. Facility staff confirmed that only verbal communication was provided and that written notices were not sent to the representative or the Ombudsman.
A resident with multiple medical conditions was discharged home without receiving the required written notice of discharge, and the Office of the State Long Term Care Ombudsman was not notified. The facility could not provide documentation or policies related to the discharge, and leadership interviews confirmed the absence of the necessary notifications in this case.
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