Failure to Report Investigation Outcomes
Penalty
Summary
Accela Rehab and Care Center at Springfield was found to be non-compliant with the requirements of 42 CFR Part 483, Subpart B, specifically regarding the reporting of alleged violations. The facility failed to report the results of investigations into allegations of abuse, neglect, and misappropriation to the State Survey Agency within the required five working days. This deficiency was identified during an abbreviated survey conducted in response to two complaints. The facility's policy, "Abuse and Neglect - Clinical Protocol," mandates timely reporting of such incidents, but the facility did not adhere to this policy. The survey revealed that four residents were involved in incidents that required investigation. One resident reported money missing from their personal bag, another alleged a verbal altercation with a facility van driver, a third resident claimed neglect due to not receiving showers or snacks, and a family member of a fourth resident alleged rough treatment by nurse aides. Despite initiating internal investigations for each incident, the facility did not document evidence of reporting the outcomes to the State Survey Agency as required, leading to the cited deficiency.
Plan Of Correction
NHA will submit outcome of internal investigations identified in observation #0609 to SSA via Event Reporting System. NHA to review and submit outcome and findings of investigations that remain incomplete in Event Reporting System. NHA, DON to be reeducated on timely submission of event investigation findings to Event Reporting System. Event Reporting System to be audited weekly x4 weeks by a member of regional team to ensure compliance with completing submission of events. After 4 weeks above said audits will be done monthly x3 months. Results of said audits will be reported to QAPI.