Failure to Notify Resident Representative of Change in Condition
Penalty
Summary
The facility failed to notify a resident's representative of a significant change in condition, specifically the discontinuation of a Foley catheter and initiation of a voiding trial. During a telephone interview, the resident's representative expressed surprise and concern about not being informed of the catheter removal, stating that notification had not occurred. Review of the resident's progress notes confirmed that while the provider was notified and a voiding trial was ordered, there was no documentation indicating that the resident's representative had been informed. Interviews with an LPN and the DON confirmed that facility policy requires notification of both the physician and the resident's representative for any change in condition or order, and that such notifications should be documented in the medical record.