Failure to Timely Notify Resident Representative After Fall
Penalty
No penalty information released
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 representative of a significant change in condition following a fall. A cognitively intact resident with a history of stroke, who required maximum assistance for daily care, was found on the floor in front of her wheelchair while attempting to get up. Although this incident was documented in the nursing notes, there was no evidence in the clinical record that the resident's emergency contact was informed of the fall until three days later. Staff interviews confirmed that the notification was delayed, despite the requirement for immediate notification of such events.