Failure to Notify Resident Representative After Fall with Injury
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 a resident's representative following a fall that resulted in injury. Review of the incident and accident log, as well as resident records and staff interviews, revealed that a resident with dementia and a history of falls was admitted to the facility and experienced a fall causing an elbow injury. Documentation showed that the resident's representative was not informed of the incident or the resulting injury. The Director of Nursing confirmed that the family or power of attorney was not notified after the fall with injury.