Failure to Notify Resident's Sponsor of Room Change
Penalty
Summary
The facility failed to notify the sponsor or representative of a resident when the resident experienced a room change on 10/18/2024. According to the facility's policy titled 'Notification of Changes,' the facility is required to contact the resident's physician and notify the resident's representative when such changes occur. Interviews with the Social Service Designee (SSD) and the Director of Nursing (DON) confirmed that the responsibility for notifying family members of room changes lies with Social Services, and that notification should occur before the move. The SSD admitted to not notifying the resident's sponsor, and the sponsor confirmed that she was not informed of the room change. This deficiency was identified during the investigation of a specific complaint and affected one of the sampled residents.