Failure to Notify Family and Hospice After Resident Fall and Hospital Transfer
Penalty
Summary
The deficiency involves the facility’s failure to promptly notify a resident’s family and hospice provider following a fall and transfer to the hospital. The resident’s daughter reported that she first learned of her mother’s fall and hospitalization when she received a call from the hospital requesting permission to treat her mother early in the morning, and that the facility had not contacted her about the fall or the transfer. She stated she would have liked to receive a call from the facility and felt as if the staff did not care, and she was not notified by the facility until after her mother returned from the hospital. The Hospice Director of Nursing stated that hospice had not been notified by the facility until after the resident returned from the emergency room, at which time the hospice nurse went to the facility to assess the resident. An LPN reported that hospice was notified later that morning after the fall and stated that once hospice is notified, hospice is responsible for notifying the family and that it is not the facility’s responsibility to notify the family. The DON stated that the facility should notify the family, the physician, and hospice if the resident is on hospice, but was unable to confirm that the family or hospice had been notified in this case.
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