Failure to Notify Responsible Party After Resident Fall
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 the responsible party after a resident experienced a fall. On 8/23/24, a staff member lowered the resident to the floor, but did not consider this a fall and therefore did not report the incident. The resident, who had a history of blood clots, was later observed by a family member to have a swollen left ankle and was unable to stand or put pressure on the foot. Medical assessments, including an x-ray and venous doppler, were performed, and the resident was eventually sent to the hospital where a left hip fracture was diagnosed and surgically repaired. The responsible party was not informed of the fall until several days later, when the resident was already at the hospital.