Failure to Monitor Visitor Entry and Exit to Ensure Resident Safety
Penalty
Summary
The facility failed to ensure a safe environment by not monitoring visitors entering and exiting the building. A family member of a resident with an anxiety disorder reported observing visitors coming into and leaving the facility without checking in or out at the front lobby desk and expressed concern for her mother's safety. Review of the resident’s admission record confirmed the diagnosis of anxiety disorder. During an observation in the lobby with the DON, surveyors saw visitors entering and exiting without signing in or out, and there was no designated visitor sign-in log at the front desk. The DON stated that visitors were not required to check in or out, and the front lobby receptionist confirmed there was no such requirement. Review of the facility’s Visitation policy, dated 2001, showed that visitation may be subject to reasonable clinical and safety restrictions to protect residents’ health, safety, security, and rights, but the facility was not implementing a visitor sign-in/sign-out process at the time of the observations and interviews.
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