Failure to Timely Notify State Agency of DON Change
Penalty
No penalty information released
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Summary
The facility failed to notify the State Agency of a change in the Director of Nursing (DON) position within the required five-day timeframe. Record review showed that the DON was changed on 11/8/24, but the notification to the State Agency was not received until 1/15/25. During an interview, the Administrator confirmed that the notification was not sent within the required period. This lapse had the potential to affect all 75 residents residing in the facility.