Failure to Provide Written Notice of Room Change
Penalty
Summary
A deficiency occurred when a resident was moved from one room to another without receiving written notice of the room change, including the reason for the change, as required. Medical record review showed that the resident had been residing in the same room and bed for several months, with the electronic medical record (EMR) still reflecting the original room assignment. Observations confirmed that the resident was no longer in the documented room, and another resident reported that the individual had moved to the adjacent room. Staff confirmed the resident's new location, but there was no documentation in the EMR indicating that the resident or their representative had been notified in writing prior to the move, nor was there evidence that the move was requested by the resident. Further interviews with staff revealed that the room change likely occurred over a specific period, but the nursing home administrator was unaware of the move until informed by the surveyor. The administrator and staff confirmed that the resident was residing in a different room than what was documented, and acknowledged the lack of written notification or documentation regarding the change. The deficiency was identified during a complaint survey and was evident for one resident reviewed for a facility-reported incident.