Failure to Honor Resident's Bed Change Request
Penalty
Summary
Cranberry Place was found to be non-compliant with resident rights as outlined in 42 CFR Part 483, Subpart B, and the 28 PA Code. The deficiency involved a failure to honor a resident's request to switch beds within the facility. Resident R94, who was admitted on November 7, 2024, and has diagnoses of diabetes mellitus, anxiety, and depression, expressed a desire to move from a door bed to a window bed after their roommate was discharged. The resident communicated this request to the facility staff, and the Director of Social Services confirmed that the facility intended to accommodate the request. However, the switch did not occur as planned. On January 24, 2025, it was observed that Resident R94 had not been moved to the window bed, and a new roommate had been placed there instead. The Nursing Home Administrator confirmed that the facility failed to execute the bed switch for Resident R94, thereby not upholding the resident's rights to self-determination and dignity as required by the regulations.
Plan Of Correction
Resident R94 remains in her current bed/ accepted another bed/ was provided a window bed on 1/24/2025. The facility has no other current residents with voluntary outstanding bed requests. The NHA/Designee will educate Social Services and Admission Director on resident rights and the facility procedure of making room moves in a prompt manner. The NHA/Designee will audit any voluntary room move requests weekly x4 and monthly x2 to ensure that moves are completed in a timely manner. Results to be reviewed through QAPI for further recommendation.