Failure to Provide Written Notice and Choice Prior to Resident Room Change
Penalty
Summary
The facility failed to provide written notice, including the reason for a room change, to a resident prior to a facility-initiated room change. The resident, who was observed in a wheelchair near the nurses' station, reported uncertainty about the reason for his move, the specific room he would be moving to, and whether he would have a roommate. He stated that he had not been shown any potential new rooms and that being told a room number would not be meaningful without seeing the room. The resident indicated he was informed of the move a couple of days prior but did not receive written documentation. Review of the clinical record showed that a social worker documented a discussion with the resident about the room change and noted the resident was agreeable, but there was no evidence that written notice was provided to the resident or his responsible party. Additionally, there was no documentation that the resident was given the opportunity to see the new room or meet his new roommate, despite the fact that he would now have a roommate when he previously did not. Facility staff confirmed the lack of written notice and documentation regarding the room change.