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F-Tags in Review: F-Tag 625 Notice of Bed Hold Policy Before and Upon Discharge

November 26, 2019
Healthcare Consulting By Cathy Benfer, Interim Services Manager

Since the implementation of the additional regulations in 2017, facilities continue to struggle with proper notification of the facility bed hold policy as evidenced by the number of citations through completed surveys. According to the Nursing Home Compare Datasets, statistics show that since 2017 F-Tag 625 “Notice of Bed Hold Policy” has been cited nearly 900 times across the country and 300 of those citations have been an “E” level or higher deficiency. As a provider of skilled services to often fragile or forgetful residents, it is imperative that a resident family member be present during the admissions process to hear and witness specific documents. The facility bed hold policy is one of those documents that could easily be forgotten during this overwhelming process. 

 

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With some pre-planning, providers can avoid this deficiency when a resident is admitted by following a few simple steps:

  • When a potential resident is being considered for admission, meet with the family ahead of time to explain the admission process, and why it is important to understand the policies of the facility, including the bed hold policy.
  • Upon admission, utilize a well thought out system of reviewing all the documents in the admission process, and allow enough time for the individuals receiving the information to understand the documents and ask questions. While these documents are familiar to the facility staff, they are very unfamiliar to the residents and their family members.
  • To make the process a bit smoother, review the bed hold document directly after the admission contract and obtain a signature, on the document, from the resident or a legal representative.
  • Avoid requesting the signing of duplicate copies. This will only heighten the anxiety of the person signing the documents and make for an unpleasant admission process. Instead, after all the documents are signed, escort the resident and/or family member to a comfortable part of the facility (or the resident suite), and assemble a folder with copies of all documents for the resident or family. 
  • Keep the original signed document with the resident’s other required admission documents (according to state-specific requirements) for ease of accessibility and regulatory compliance.
  • It would be prudent to provide a copy of this document to the resident and/or family member with each discharge.

Every resident admitted to the facility deserves individualized attention when it comes to planning and implementing care. This individualized attention should begin at, or before, admission.

If you need assistance in preparing or delivering education to your staff, LW Consulting, Inc. offers a well-rounded education program. 

 

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