Failure to Notify Family of Resident's Return from Hospital
Penalty
Summary
The facility failed to notify a resident's family member of the resident's return from the hospital, as required by facility policy. The policy directs staff to inform the resident's family or representative and medical practitioner of significant changes, including transfers, and to document each attempt to contact them. In this case, a resident with a history of mental health issues was transferred to the emergency room after exhibiting increased behaviors and delusions. The resident returned to the facility later that morning, displaying agitation and refusing vital signs. Despite being the resident's guardian, the family member was not informed of the resident's return and only learned of it after contacting the facility the following day. The administrator confirmed that the family member had not been notified of the resident's return.