Failure to Timely Report Abuse Investigation
Penalty
Summary
The facility failed to report the complete investigation of an allegation of abuse within the required time frames. A resident, who had been admitted with diagnoses including rectal cancer, pain, cellulitis, and anxiety, alleged that the Nursing Home Administrator physically abused him by pushing him in the chest. The incident was reported to the State Event Reporting System the following day, and the investigation was deemed unsubstantiated. However, the required PB-22 form, which documents allegations of abuse with an identified alleged perpetrator, was not completed and submitted within the mandated five-day period. This delay was confirmed by the Assistant Nursing Home Administrator during an interview.
Plan Of Correction
The PB-22 form has been completed and submitted. Employee E2 was re-educated on the importance of following proper protocol and timeframes for completing and submitting the PB-22 form within five days of an abuse allegation. NHA/designee will complete an audit reviewing the past 30 days to ensure all PB-22 forms have been completed. Then weekly x4 audits to review the timely submission of PB-22 forms for any future abuse allegations. Audit results will be reviewed by the Director of Nursing or designated supervisor. Findings will be reported to QAPI monthly x3.