Failure to Notify Responsible Party After Resident Fall
Penalty
Summary
The facility failed to ensure timely notification of a resident's responsible party following a fall with injury. Clinical records showed that a resident, admitted for short-term rehabilitation after a previous fall, was found on the floor and required assistance with a Hoyer lift and two nurse aides to return to bed. Although a nursing note indicated that the registered nurse supervisor would contact the physician and the resident's responsible party, there was no documentation that the resident's daughter, who is the responsible party, was notified of the incident. The Director of Nursing confirmed the absence of such documentation, and the resident's daughter reported being upset about not being informed of the fall and subsequent injury.