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F0684
D

Failure to Notify Physician After Change in Condition

Johnstown, 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 that a resident received care and treatment in accordance with professional standards of practice by not following a physician's request for follow-up after a change in condition. A cognitively impaired resident who required assistance with daily care experienced a coughing fit after taking bedtime medications with water. The physician was informed of the incident and instructed staff to monitor the resident and provide a status update the following day to determine if a chest x-ray was needed. However, there was no documented evidence that the physician was contacted the next day as requested. This was confirmed by the Director of Nursing during an interview.

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