Failure to Prevent Resident Elopement Creates Immediate Jeopardy
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
The Nursing Home Administrator (NHA) and Director of Nursing (DON) failed to effectively manage the facility, resulting in the elopement of two residents. Review of job descriptions, clinical records, and staff interviews revealed that both the NHA and DON did not fulfill their essential job duties to ensure compliance with federal and state regulations, specifically in preventing resident elopement. The incident created an immediate jeopardy situation for two of the 33 residents in the facility. The NHA and DON were notified of their failure to prevent the elopement, which was determined to be a result of inadequate management and supervision as outlined in their respective job descriptions.