F0559

D

Failure to Provide Required Written Notice Before Room Change

Orlando, Florida Survey Completed on 12-23-2025

Penalty

No penalty information released

Summary

The facility failed to provide written notice to a resident’s family representative before making a room change, as required by its own Resident Rights and Resident Notification policy. A male resident, admitted from another nursing home and later readmitted from an acute care hospital, had his room changed on 11/26/25 because a private room was no longer deemed medically necessary. The Social Worker reported that the facility’s practice was to notify residents or their representatives verbally, either in person or by telephone, and maintained a handwritten log of such notifications. The log indicated that the resident’s family representative was called on 11/25/25 and informed of the impending room change, and the Social Worker recalled discussing the change with the representative the following day, noting the representative was unhappy about it. However, there was no written notice provided, despite the facility’s written standards stating that residents or their representatives have the right to receive written notice, including the reason for the room change, before the change is made. The Nursing Home Administrator stated she was not aware that written notification was required in addition to verbal notification.