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F0580
D

Failure to Notify Physician and Responsible Party of Change in Condition

Bethlehem, Pennsylvania Survey Completed on 07-01-2025

Penalty

No penalty information released
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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 ensure timely notification of a physician and responsible party following a significant change in a resident's condition. Clinical records show that a resident with diabetes mellitus, dementia, and mood disorder experienced increased tiredness, poor meal intake, and multiple episodes of loose stools. Later, the resident vomited during supper and was found to have low blood pressure. Despite these changes, there was no documented nursing assessment after the vomiting episode, nor was there any documentation that the physician or responsible party was notified of the resident's condition changes. The resident was subsequently transferred to the emergency room the following morning due to an acute change in condition.

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