Failure to Notify Physician After Resident Threatened Self-Harm and Harm to Others
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
A deficiency occurred when the facility failed to notify a physician after a resident, with diagnoses including schizoaffective disorder bipolar type, hallucinations, psychosis, and depression, verbalized threats to harm themself and others. The resident, who had intact cognition and a history of hallucinations and delusions, was observed at the nurses' station exhibiting aggressive behavior, threatening self-harm and harm to others, and reporting auditory hallucinations. Although the resident was placed on one-on-one monitoring and 911 was called, there was no documentation that the physician or psychiatric provider was notified of the incident, as confirmed by staff interviews and record review.