Failure to Notify Resident Representative of Injury
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 facility failed to notify a resident's representative of a change in condition when a resident sustained a bruise to the right foot and toes after the footboard fell off the bed and landed on the resident's foot. Observations showed the resident self-propelling in a wheelchair barefoot with visible bruising. The Unit Manager was unaware of the injury and could not confirm how long it had been present or how it occurred. During an interview, the resident's representative expressed concerns about recent falls and new medication but was unaware of the injury until informed by surveyors. The Unit Manager confirmed that the representative had not been notified of the injury.