Failure to Notify Resident Representative of New Skin Excoriation
Penalty
Summary
The deficiency involves the facility’s failure to notify a resident’s representative of a change in the resident’s medical condition. A closed record review for a resident admitted with type II diabetes, cerebral infarction, COPD, and hypertension showed that on 1/11/26 at 11:39 PM, an RN documented newly identified excoriation (scraped skin) to the resident’s bilateral groins and scrotum and that the physician was notified. There was no documented evidence that the resident’s representative was informed of this new skin condition, despite the change being recorded in the progress notes. During an interview, the RN stated that a resident’s representative was to be notified of any change in a resident’s medical condition and that such notification should be documented, and acknowledged that if the family had been notified, it would have been charted. The RN further stated that the representative should have been informed. In a joint interview, the DON and LNHA confirmed that staff were expected to notify the resident’s representative of any new conditions, including skin excoriation, and that the RN should have informed the representative of the change. Review of the facility’s “Change in a Resident’s Condition or Status” policy dated February 2021 showed that the facility would promptly notify a resident’s representative of a change in medical condition within 24 hours, which did not occur in this case.
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