Failure to Notify Physician of Resident's Change in Condition
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
A deficiency was identified when the facility failed to notify an attending physician of a documented change in a resident's condition. Specifically, a licensed practical nurse (LPN) observed that a resident was more confused and agitated, and reported this change in behavior, including the resident throwing a dinner tray, to the resident's representative. However, there was no evidence that the LPN completed a change in condition assessment or notified the resident's attending provider of these behavioral changes. The Director of Nursing (DON) confirmed that such a change in behavior should have triggered both an assessment and provider notification, but the records did not show that these actions were taken.