Failure to Notify Physician of Resident Hospitalization
Penalty
Fine: $20,670
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 physician when the resident was discharged to the hospital. The resident, who had a history of heart disease and kidney disease, was admitted to the facility in October 2024. On June 8, 2025, the resident was sent to the hospital due to symptoms including nausea, diarrhea, general malaise, cold sweats, and dizziness. A review of the clinical record showed no documentation that the physician was informed of the hospital transfer. Interviews with facility staff confirmed that the physician was not notified at the time of the resident's hospitalization.