State Findings:
Based on interview and record review, the facility failed to immediately inform the resident; consult with the resident’s physician; and notify, consistent with his or her authority, the resident representative when a decision was made to transfer or discharge the resident from the facility for one of three residents reviewed for hospitalization s.
The facility failed to send a transfer or discharge notification in writing to Resident #1’s responsible party and the facility’s ombudsman as soon as practicable after an emergency transfer to the hospital for urgent medical needs.
This failure could place residents at risk of being transferred and not having access to family support, available advocacy services, discharge/transfer options, and appeal processes.
Review of Resident 1’s face sheet dated 2-11-22 revealed a [AGE] year-old female admitted to the facility on [DATE]. The primary diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . The 2-11-22 face sheet included contact documentation of the resident representative’s name, relationship to the resident, and phone numbers.
Review of Nurses Note dated 2-12-22 indicated Resident #1 returned to the facility from the hospital and documentation stated no information was available to contact the family. The 2-12-22 nurses note revealed the hospital would notify the daughter.
Review of Resident 1’s clinical record reflected no evidence the Ombudsman or family representative were informed in writing that the resident was transferred to the hospital on 2-11-22 and again on 2-17-22.
Interview on 2-19-22 8:00PM with Resident #1’s representative revealed no contact was made to explain the transfer to the hospital and reason for the transfer for 2-11-22 and 2-17-22. The family arrived at the facility on 2-12-22 to visit and Resident #1 was not there. The resident’s representative stated Resident #1 would not be returning to the facility after the hospital discharge.
Interview on 2-19-22 9:15PM with the DON acknowledged it was the facility’s responsibility to notify the resident representative regarding transfers and discharges. The DON did not know why the nurse on duty did not follow through and contact the family.
Your Experience Matters
...and we want to hear it.
NHAA is here to assist families, residents, and the community by sounding the alarm on issues like those found above. This nursing home and many others across the country are cited for abuse and neglect.
If you have or had a loved one living in this nursing home or any other nursing home where you suspect any form of abuse or neglect, contact us immediately.
We have helped many already and we can help you and your loved one as well by filing a state complaint, hiring a specialized nursing home attorney or helping you find a more suitable location for your loved one.
You can make a difference, even if your loved one has already passed away.
Please give us a call at 1-800-645-5262 or fill out our form detailing your experience.
Personal Note from NHA-Advocates
NHAA shares with all the families of loved ones who are confined to nursing homes the pain and anguish of putting them in the care of someone else. We expect our loved ones to be treated with dignity and honor in the homes we place them. We cannot emphasize enough to family members of nursing home residents; frequent visits are essential to our loved ones’ well-being and safety.
If you are struggling and upset, click here to understand your options, or contact us through our contact form or call our toll free hot line number: 1-800-645-5262.
