Failure to Inform Residents of Rights and Facility Rules
Penalty
Summary
The facility failed to inform residents of their rights, responsibilities, and facility rules and regulations both orally and in writing upon admission and during their stay, as required by policy. Four residents with intact cognition and various medical conditions, including heart failure, depression, chronic pain, and spina bifida, reported not receiving information about their rights or facility rules at admission or during Resident Council meetings. Review of Resident Council meeting minutes showed that required reviews of resident rights were not consistently documented or conducted. Interviews with staff revealed inconsistencies and confusion regarding the process for distributing and reviewing resident rights information. The Admissions Director was unaware that resident guidebooks were not being handed out, and a Nursing Assistant involved in admissions did not review resident rights or know about the guidebook. The Activity Coordinator noted that reviews of resident rights at Resident Council meetings were not always completed, and the process for ensuring residents were informed was not reliably followed.