Failure to Notify Resident/Responsible Party of Room Change
Penalty
Summary
Facility staff interviews and surveyor record review identified a failure to provide required notification of a room change to a resident and/or the resident’s responsible party. Record review of a closed medical record for Resident #107, conducted on 3/13/2026, showed that the resident was transferred from room [ROOM NUMBER]-A on station 2 to room [ROOM NUMBER]-B on station 1 on 2/4/2026. The medical record contained no documentation indicating that the resident or the responsible party had been notified of this room change. During an interview on 3/13/2026 at 8:38 AM, the DON was informed by the surveyor that there was no documentation of notification for the room transfer. The DON stated she would look for the room change notification. In a follow-up interview at 9:20 AM the same day, the DON reported she was unable to locate any documentation of notification for the room change, while acknowledging that the facility’s expectation was to notify the resident and/or responsible party of room changes and to document such notifications in the medical record. By the time of survey exit, no information or documentation of notification for Resident #107’s room change had been provided.
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