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F0580
D

Failure to Notify POA/Family of Resident's Change in Condition and Hospital Transfer

Tucker, Georgia Survey Completed on 07-10-2025

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

The facility failed to notify the Power of Attorney (POA) or family of a change in condition for one resident. The resident, who had diagnoses including asthma and end-stage renal disease and was assessed as having moderate cognitive impairment, experienced an episode of vomiting coffee ground-like emesis. The in-house nurse practitioner was notified and recommended hospital transfer, after which Emergency Medical Services (EMS) transported the resident to the hospital. Although an attempt was made to contact the family, there was no answer, and no follow-up call was documented or made by subsequent shifts. The POA later reported being unaware of the resident's hospital transfer and continued hospitalization.

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