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F0600
D

Failure to Follow Two-Person Transfer Protocol Resulting in Resident Fall

Shenandoah, Pennsylvania Survey Completed on 07-02-2025

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

A facility failed to ensure the provision of care and services necessary to prevent a fall and maintain the physical health of a resident with significant medical needs. The resident, who had an above-the-knee right leg amputation, dementia, and a cognitive communication deficit, was assessed as requiring two-person assistance for all transfers according to both physician orders and the Kardex. Despite these documented requirements, a nurse aide transferred the resident alone after asking the resident if he needed one or two-person assistance and relying on the resident's response, rather than following the established care plan. During the transfer, the resident's leg slid, resulting in a fall in the bathroom. The resident experienced pain and swelling in the left ankle, which had not been previously injured, and received pain medication and an x-ray. Facility documentation and a root cause analysis confirmed that the staff member did not adhere to the required two-person assist protocol, directly contributing to the fall. The Nursing Home Administrator verified that the staff member failed to follow established protocols, placing the resident at risk.

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