Failure of Facility Leadership to Ensure CPR Initiation for Unresponsive Resident
Penalty
Summary
The deficiency involves the failure of the Nursing Home Administrator (NHA) and the Director of Nursing (DON) to effectively manage the facility so that consistent care was provided to initiate cardiopulmonary resuscitation (CPR) for an unresponsive resident (Resident R1). The NHA’s job description dated 2/2024 required directing the day-to-day functions of the facility in accordance with federal, state, and local regulations to assure the highest degree of quality care at all times, and the DON’s job description dated 2/2024 required overseeing and supervising the care of all residents and providing direct resident care. Based on review of job descriptions, clinical records, and staff interviews, surveyors determined that the facility failed to ensure that CPR was initiated for Resident R1 when the resident was unresponsive, and this failure was attributed to the NHA and DON not fulfilling their essential job duties to ensure that applicable federal and state guidelines and regulations were followed. During an interview, the NHA and DON were informed that their failure to effectively manage the facility and ensure consistent initiation of CPR for the unresponsive resident resulted in an Immediate Jeopardy situation for one of 131 residents, in violation of 28 Pa. Code 201.14(a), 201.18(b)(1)(3)(e)(1), and 211.12(d)(1)(2)(3)(5).
We Help Long-Term Care Teams Stay Survey-Ready
We process and analyze inspection reports and plan of correction using AI to extract insights and trends so providers can improve care quality and stay ahead of compliance risks.