Failure to Assess Psychosocial Impact of Room Change
Penalty
Summary
The facility failed to ensure that social services staff assessed the psychosocial impact of a room relocation for a resident who experienced a room change. The resident, admitted with a primary diagnosis of an unspecified nondisplaced fracture of the surgical neck of the right humerus, underwent a room change as documented in the facility's records. There was no documented evidence in the clinical record that an assessment by social services was completed regarding the impact of this room change on the resident's psychosocial status, as required by facility policy. During interviews, the resident reported being moved from their previous room after being told not to speak to their roommate, with whom they were friends, and expressed not wanting to move. The Licensed Social Worker confirmed responsibility for completing room change assessments but acknowledged that no assessment was completed at the time of the resident's relocation. Facility policy specifically required social services staff to assess the impact of room relocations on residents' psychosocial status, but this was not followed in this instance.