Failure to Report Suspected Abuse and Neglect
Penalty
Summary
The facility failed to report an allegation of suspected abuse and neglect to the Survey Agency for a resident. The resident, who was alert and oriented, had multiple medical conditions including chronic obstructive pulmonary disease, neuromuscular dysfunction of the bladder, multiple sclerosis, and colon cancer. The resident was frequently incontinent and required assistance with transfers. On a particular evening, the resident experienced uncontrollable bowel movements and called for nursing assistance, which was delayed. In attempting to use the bathroom independently, the resident fell and was left in a state of distress. When a nursing assistant eventually arrived, the resident reported being treated disrespectfully and was told by the staff that they did not have to help him. The resident was subjected to derogatory comments about his condition and was told to "shut up" by a nurse. The resident expressed frustration and apologized for his condition, explaining it was due to his cancer. Despite these events, the incident was not reported to the appropriate authorities as required, constituting a failure in the facility's duty to report suspected abuse and neglect.
Plan Of Correction
1. Grievance/concern dated November 6, 2024, regarding Resident R1 was reported. 2. Last 4 months of grievances will be audited to ensure any grievance that need to be reported, was reported. 3. Staff will be educated on the components of this regulation with an emphasis on timely and accurate reporting of alleged violations. 4. Audits will be done to ensure all grievances that need to be reported have been reported 1x week for 1 month, 2x a month for one month, and then 1x a month for 1 month. 5. The findings of these quality monitoring's to be reported to the Quality Assurance/Performance Improvement Committee monthly x6 months.