Bruceville Terrace - D/p Snf Of Methodist Hospital

During a review of Resident 1's NPN, dated 11/23/25 at 11:50 a.m., the NPN indicated, Resident 1 was discharged home with the RP.

The NPN did not indicate that the RP was informed of the assisted fall that had occurred.During a concurrent interview and record review on 12/19/25 at 12:25 p.m. with Director of Nursing (DON), Resident 1's NPN on 11/23/25 at 2:51 a.m. was reviewed.

The NPN indicated, .endorsed AM nurse to follow up The DON stated that calling the RP again was part of the follow-up process.

Further review of the chart showed no documentation of a follow-up call to the RP.

The DON confirmed that no additional follow-up call was made.

The DON stated that she expected the day shift nurse to follow up and ensure the RP was made aware of the fall.

The DON also stated that the nurse should have informed the RP about the fall when the RP arrived to pick up Resident 1 for discharge.During a review of the facility's policy and procedure (P&P) titled, Falling Incidents, dated 5/22/25, the P&P indicated, .notify the Physician and Responsible Party.

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

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