Failure to Notify Responsible Party of Resident’s Change in Condition and Hospitalization
Penalty
Summary
The facility failed to notify a resident’s responsible party of a significant change in condition and hospitalization. Clinical record review showed that the resident, who was receiving hemodialysis, was reported by the dialysis provider to be complaining of weakness prior to treatment, and a fasting blood sugar of 48 mg/dL was documented. The resident was sent to the emergency room for evaluation. Nursing documentation indicated that at 11:30 AM the facility received a call from the emergency room physician, who reported that the resident’s blood sugars and blood pressures were rising and dropping, and nursing notes later documented that the resident remained hospitalized and subsequently expired at the hospital. There was no documented evidence that the resident’s responsible party was notified of the significant change in condition or the admission to the hospital, and the Nursing Home Administrator and Director of Nursing confirmed these findings. This deficiency was cited under 28 Pa. Code 211.12(d)(1)(3)(5) related to nursing services, based on the lack of documentation and confirmation of responsible party notification for the resident’s change in condition and hospitalization.
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