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F0559
D

Resident Not Provided Opportunity to View New Room Prior to Move

Tacoma, Washington Survey Completed on 05-09-2025

Penalty

No penalty information released
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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 resident with chronic obstructive pulmonary disease (COPD) and generalized muscle weakness, who was able to make their needs known, experienced multiple room changes within a few months. The resident reported dissatisfaction with a particular room move, stating they were not given a choice in the move and were not shown the new room prior to relocation. Documentation in the electronic health record confirmed room moves on three separate occasions, and a progress note indicated the resident expressed concerns about the new room being too small and issues with the placement of personal belongings. Social services staff were notified of these concerns. Interviews with facility staff revealed that the move in question was considered an emergency due to ongoing roommate issues, and the resident was not shown the new room beforehand, contrary to facility expectations. The Social Services Director acknowledged that the resident should have been given the opportunity to view the new room and that there should have been follow-up on the resident's concerns. The Administrator also confirmed that the lack of follow-up and failure to offer a room viewing did not meet facility expectations.

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