Failure to Notify Responsible Party of Resident Hospital Transfer
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
Facility staff failed to notify a resident's responsible party of a significant change in condition when the resident exhibited aggressive behaviors, refused medication, and was subsequently transferred to the emergency room for further evaluation. Clinical record review showed documentation of the resident's behavioral changes and hospital transfer, but there was no evidence that the responsible party was informed of these events. Staff interviews confirmed that the expected protocol is to notify the representative when a resident is transferred to the hospital, and facility policy requires family notification of any resident changes. Despite these requirements, no documentation or evidence of notification was found for this incident.