Failure to Notify Responsible Party of Resident's Change in Condition After Fall
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
A deficiency occurred when the facility failed to notify the responsible party (RP) of a resident's change in condition following a witnessed fall. During a review of the resident's records, it was found that although the resident had a severely impaired cognition as indicated by a BIMS score of 6, there was no documentation that the RP had been informed of the incident. The facility's policy requires prompt notification of the resident's representative in the event of an accident or incident resulting in injury, with notifications to be made within 24 hours unless otherwise instructed. The Licensed Vocational Nurse confirmed that the RP should have been notified and that no such documentation existed in the progress notes.