Failure to Notify Responsible Party of Roommate Change
Penalty
Summary
The facility failed to notify a resident’s Responsible Party of a change in roommate, as required for situations that affect the resident. Resident B’s record, reviewed on 2/23/26, showed multiple diagnoses including Alzheimer’s disease, psychotic disorder, hypertension, depression, anemia, and COPD, and a Quarterly MDS dated 11/4/25 documented that the resident was cognitively impaired for daily decision making. A nurse’s progress note dated 1/22/26 at 12:46 a.m. stated that the resident appeared to be adjusting well to a new roommate, confirming that a roommate change had occurred. However, there was no documentation that the resident’s Responsible Party had been notified of this new roommate, and during interview the DON acknowledged that the Responsible Party was not notified of the roommate change, as she believed notification was only required for a room change. This deficiency was cited under 3.1-5(b)(1) and related to Intake 2739564.
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