Failure to Inform Resident of Advance Directive Rights
Penalty
Summary
The facility failed to inform and provide written information to one of five residents regarding the right to formulate an advance directive. Review of the resident's admission and clinical records showed that the resident did not have an advance directive on file, nor was there documentation that the topic had been addressed or that assistance was offered to the resident or their representative in formulating one. During an interview, a registered nurse confirmed the absence of both an advance directive and any acknowledgment that the resident had been informed or assisted in this matter. The facility's policy requires staff to offer assistance in establishing advance directives if the resident or representative has not already done so, and to document whether assistance was accepted or declined.