|§483.15(c)(3) Notice before transfer. |
Before a facility transfers or discharges a resident, the facility must-
(i) Notify the resident and the resident's representative(s) of the transfer or discharge and the reasons for the move in writing and in a language and manner they understand. The facility must send a copy of the notice to a representative of the Office of the State Long-Term Care Ombudsman.
(ii) Record the reasons for the transfer or discharge in the resident's medical record in accordance with paragraph (c)(2) of this section; and
(iii) Include in the notice the items described in paragraph (c)(5) of this section.
§483.15(c)(4) Timing of the notice.
(i) Except as specified in paragraphs (c)(4)(ii) and (c)(8) of this section, the notice of transfer or discharge required under this section must be made by the facility at least 30 days before the resident is transferred or discharged.
(ii) Notice must be made as soon as practicable before transfer or discharge when-
(A) The safety of individuals in the facility would be endangered under paragraph (c)(1)(i)(C) of this section;
(B) The health of individuals in the facility would be endangered, under paragraph (c)(1)(i)(D) of this section;
(C) The resident's health improves sufficiently to allow a more immediate transfer or discharge, under paragraph (c)(1)(i)(B) of this section;
(D) An immediate transfer or discharge is required by the resident's urgent medical needs, under paragraph (c)(1)(i)(A) of this section; or
(E) A resident has not resided in the facility for 30 days.
§483.15(c)(5) Contents of the notice. The written notice specified in paragraph (c)(3) of this section must include the following:
(i) The reason for transfer or discharge;
(ii) The effective date of transfer or discharge;
(iii) The location to which the resident is transferred or discharged;
(iv) A statement of the resident's appeal rights, including the name, address (mailing and email), and telephone number of the entity which receives such requests; and information on how to obtain an appeal form and assistance in completing the form and submitting the appeal hearing request;
(v) The name, address (mailing and email) and telephone number of the Office of the State Long-Term Care Ombudsman;
(vi) For nursing facility residents with intellectual and developmental disabilities or related disabilities, the mailing and email address and telephone number of the agency responsible for the protection and advocacy of individuals with developmental disabilities established under Part C of the Developmental Disabilities Assistance and Bill of Rights Act of 2000 (Pub. L. 106-402, codified at 42 U.S.C. 15001 et seq.); and
(vii) For nursing facility residents with a mental disorder or related disabilities, the mailing and email address and telephone number of the agency responsible for the protection and advocacy of individuals with a mental disorder established under the Protection and Advocacy for Mentally Ill Individuals Act.
§483.15(c)(6) Changes to the notice.
If the information in the notice changes prior to effecting the transfer or discharge, the facility must update the recipients of the notice as soon as practicable once the updated information becomes available.
§483.15(c)(8) Notice in advance of facility closure
In the case of facility closure, the individual who is the administrator of the facility must provide written notification prior to the impending closure to the State Survey Agency, the Office of the State Long-Term Care Ombudsman, residents of the facility, and the resident representatives, as well as the plan for the transfer and adequate relocation of the residents, as required at § 483.70(l).
Based on resident interview, clinical record review and interview with facility staff, it was determined that the facility failed to provide documentation that the required notification to the office of the State Long-Term Care, (LTC) Ombudsman had been performed after a facility - initiated transfer to an acute care hospital had occurred for one of one resident reviewed that was transferred to the hospital (Resident R5).
During a resident interview on May 31, 2019, at 10:15 a.m. Resident R5 indicated since her stay at the facility she was transferred to the hospital once, for a lengthy stay.
Clinical record review for Resident R5, revealed that the resident was transferred to the hospital on April 30, 2019, for evaluation and treatment related to abnormal lab values. Continued review of the clinical record revealed that Resident R5 was readmitted to the facility from the hospital on May 10, 2019.
An interview with Employee E3, Social Worker, on June 3, 2019, confirmed that the State Long- Care, (LTC) Ombudsman was not notified of Resident R5's transfer to the hospital.
The facility failed to notify the Office of the State Long - Term Care Ombudsman of a facility initiated hospital transfer.
28 Pa. Code 201.14(a) Responsibility of licensee
Previously cited 04/20/17
| ||Plan of Correction - To be completed: 06/30/2019|
This Plan of Correction constitutes our written allegation of compliance for the deficiencies cited. However, submission of this Plan of Correction is not an admission that a deficiency exists or that one was cited correctly. This Plan of Correction is submitted to meet requirements established by state and federal law.
1. Facility Furnished notice to the PA State Ombudsman regarding R5 transfer on May 30, 2019.
2. Facility follows the, Involuntary Discharge and Transfer Notices
Guidance tool released by PA Long-Term Care Ombudsman Office (State Office), to determine notification requirements.
3. Facility Social Service/ Designee will send written communication to the State Ombudsman following the,
Involuntary Discharge and Transfer Notices Guidance tool before the end of each month.
4. NHA/ designee will audit facility notification to State Ombudsman times 3 months then periodically thereafter; results will be tracked in facilities QAPI meeting.