Failure to Notify Responsible Party of Scheduled Medical Appointment
Penalty
Summary
The facility failed to ensure timely notification of a responsible party regarding a scheduled medical appointment for one of six sampled residents. The resident had been admitted with diagnoses including a left lower leg fracture, muscle weakness, and hypertension, and the MDS assessment indicated she was able to communicate her needs and required extensive staff assistance for transfers. A nurse’s note documented that the resident returned from an orthopedic appointment on January 23, 2026. During an interview on January 27, 2026, the resident stated she would have liked staff to call her daughter about the appointment so her daughter could have made plans to attend. Clinical record review showed no documentation that the resident’s responsible party was notified of the appointment, and in a subsequent interview the DON confirmed there was no documented evidence of such notification, constituting noncompliance with 28 Pa. Code 211.12(d)(1)(5) Nursing services.
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