A resident with multiple chronic conditions was transferred to another facility without receiving written notice of transfer/discharge, and the State LTC Ombudsman was not notified as required. The transfer was initiated due to the resident's sex offender status, but staff did not communicate directly with the resident or provide the mandated notifications, resulting in a deficiency.
The facility failed to provide written notices of transfer or discharge to residents and/or their responsible parties, as required by policy. This deficiency was identified for five residents who were transferred to the hospital without documented notifications. The Administrator acknowledged the expectation for such notices to be given.
A resident was transferred to another facility without receiving the required written notice detailing the reason, effective date, new location, or appeal rights. Documentation of communication with the resident, family, physician, and ombudsman was missing, and staff interviews confirmed that the established discharge process and facility policy were not followed.
The facility failed to provide written notifications to residents and/or their representatives for hospital transfers, as required by policy. Interviews revealed that the practice was to notify families by phone, contrary to the policy. The deficiency was identified for six residents, with no documentation of written notifications found in their records.
A facility failed to provide written notification to a resident and their family before transferring the resident to a hospital. The resident, who was moderately cognitively impaired, experienced a change in condition, prompting a transfer to the emergency room. Interviews revealed that staff did not adhere to the facility's policy requiring advance written notice of transfers.
The facility failed to provide written notification to residents and their representatives regarding hospital transfers, as required by policy. This deficiency affected multiple residents, with no documentation of written notifications at the time of transfer. Interviews with staff revealed that the responsibility for sending transfer forms lies with floor nurses, but the expected notifications were not documented.
The facility failed to provide written notices of transfer to two residents when they were transferred to the hospital. One resident with moderate cognitive impairment was admitted with COVID-19 and hip pain, while another was transferred twice due to medical issues, including cardiac dysrhythmia. The Director of Nursing and Administrator were unaware of the requirement for written notices, and staff only verbally informed families of transfers.
The facility failed to provide written notification to two residents and/or their representatives about their transfers to a hospital. An LPN indicated that nurses were responsible for completing transfer paperwork, but documentation was missing. The Administrator expected proper forms to be filled out and given to residents or their representatives during transfers.
The facility failed to provide written transfer notices to residents and/or their representatives when six residents were transferred to the hospital. Despite the facility's policy requiring written notice before transfers, there was no documentation of such notices in the medical records of the affected residents. This deficiency was confirmed by the Administrator, who noted that nurses were not providing the necessary notices during transfers.
A resident with a history of metabolic encephalopathy and CVA was transferred to a hospital due to a change in condition without the required written notice being sent to the resident or their representative. Facility staff, including an LPN and the DON, confirmed the oversight, which was against the facility's policy.
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