Failure to Provide Proper Written Notice for Room Changes
Penalty
Summary
The deficiency involves the facility’s failure to provide proper written notice, including the reason for a room change, prior to moving residents to different rooms. For one resident admitted to the B‑wing unit in late September 2025, a social service progress note in mid‑January 2026 documented that the interdisciplinary team had requested social services to discuss a room move to an LTC unit. When social services attempted to speak with the resident after his dialysis treatment, staff reported he had already been moved to the F‑wing LTC unit. The Nursing Home Administrator later produced a written notice addressed to this resident that stated he was being moved to F‑wing, but the notice was not dated and did not include the reason for the room move. The Administrator also confirmed that the resident’s family or responsible party did not receive written notification of the room move or the reason for it. For another resident admitted in May 2025 to room F15‑2, a social service progress note in mid‑February 2026 showed that a message was left for the resident’s daughter about moving the resident to room F25‑1, asking her to call with any questions or concerns. The Nursing Home Administrator stated that this resident was provided with a written notice of the room move and provided a printed notice indicating the resident was being moved to room F25‑1, as discussed with her and/or her family or responsible party. However, this notice was also not dated and did not state the reason for the room move. The Administrator confirmed that the facility did not provide the resident’s family or responsible party with written notification of the room move and the reason for the move. As a result, for both residents, the facility failed to provide written notice that included the reason for the room change to the residents and their family/responsible parties.
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