| 5 |
JEFFERSON DAVIS COMMUNITY HOSPITAL ECF |
255050 |
1320 WINFIELD STREET |
PRENTISS |
MS |
39474 |
2019-09-19 |
623 |
E |
0 |
1 |
S8KJ11 |
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, staff interview, and facility policy review, the facility failed to provide written documentation to the resident and/or resident's representative, of the reason for transfer/discharge to the hospital, for six (6) of six (6) hospitalization s reviewed out of 18 residents sampled, Residents #3, #21, #23, #28, #30, and #36. Findings include: A review of the facility's policy titled, Bed-Holds and Returns, with a revision date of (MONTH) (YEAR), revealed: Prior to a transfer, written information will be given to the residents and the resident representatives that explains the details of the transfer. Resident #36 Record review of the physician orders, dated 9/4/19, revealed an order to send Resident #36 to a local Behavior Hospital. The Nurse Progress Note, dated 9/4/19, indicated Resident #36 was observed walking up and down the hallway yelling and cursing staff, and when staff was trying to get the resident back to her room, the resident refused to put clothing on and refused to take medications as well. There was no documented evidence that a written notice was provided to the resident/resident representative regarding information of Resident #36's transfer to the hospital on [DATE]. On 9/17/19 at 1:45 PM, an interview with the Director of Nurses (DON) revealed the facility had not been notifying the resident or the Resident Representatives, in writing, of the reason for transfer to the hospital. On 9/17/19 at 2:07 PM, an interview with Resident #36's Resident Representative revealed no written notice of the reason for transfer to the behavior facility was provided. Resident #3 Record review of physician's orders [REDACTED].#3 was transferred from the facility to the hospital for evaluations. Review of Resident #3's medical record revealed no documentation of a transfer letter to the Resident Representative regarding Resident #3's transfers from the facility to the hospital, prior, during, or shortly after the transfers. The facility failed to provide proof of a written transfer letter mailed to Resident #3's Resident Representative (RR). An interview on 09/17/19 at 11:45 AM, with the Business Office Director (BOD) revealed, We have no documentation that we mailed the Resident Representative written notice of the hospital transfer on any of the days. An interview on 09/17/19 at 11:55 AM, with the DON revealed, The process is that the hospital written transfer sheet should be mailed out the next day after a Resident is transferred out of the facility. It should be mailed by the Social Service Department. An interview on 09/17/19 at 12:00 PM, with the Social Service Director (SSD), confirmed that she did not know of any transfer/bed hold letter that the facility mailed to the Resident Representative when the resident was transferred to the hospital. An interview on 09/17/19 at 1:25 PM, with the DON, revealed the facility did not have a transfer/bed hold sheet for Resident #3 for transfers to the hospital. The DON stated, We don't have any written transfer/bed hold letters that were mailed to the Resident Representative. We don't have proof we mailed anything. Res #23 Review of a physician's orders [REDACTED].#23 was transferred from the facility to the hospital. Review of Resident #23's medical record revealed no written transfer letter to the Resident Representative regarding Resident #23's transfer from the facility. The facility failed to provide proof of a written transfer letter mailed to Resident #23's Resident Representative. Res #30 Review of a physician's orders [REDACTED].#30 was transferred from the facility to the hospital. Review of Resident #30's medical record revealed no written transfer letter to the Resident Representative regarding Resident #30's transfer out of the facility. The facility failed to provide proof of a written transfer letter mailed to Resident #30's Resident Representative. Resident #21 Review of Resident #21's medical record revealed the resident was transferred to the hospital on [DATE], and returned to facility on 5/31/2019, for observation of Pneumonia. Review of Resident #21's medical record revealed no documented evidence of a written transfer notice to the Resident and/or Resident Representative for the 5/27/19 transfer to the hospital. During an interview on 09/17/19 at 1:37 PM, the DON confirmed the facility did not notify the Responsible Party of Resident #2, in writing, for transfer to hospital on [DATE]. Resident #28 Record review revealed Resident #28 was transferred to the hospital on [DATE], and returned on 9/7/2019, for [DIAGNOSES REDACTED]. Review of Resident #28's medical record revealed no documented evidence of a written notice of transfer to the Resident and/or Resident Representative. On 09/18/19 at 3:03 PM, interview with the DON revealed a written notice of transfer was not provided to the Resident Representative regarding the transfer to the hospital on [DATE]. |
2020-09-01 |