Failure to Timely Report Verbal Altercation
Summary
The facility failed to comply with the Pennsylvania Department of Health's regulation requiring immediate notification of noncompliance that seriously compromises quality assurance or patient safety. This deficiency was identified based on a review of facility documentation and interviews. Specifically, a verbal altercation occurred between a registered nurse and a resident on November 7, 2024. However, the facility did not report this incident to the Department of Health's Event Reporting System (ERS) until November 18, 2024, and even then, the report lacked details about the specific incident. During an interview, the Nursing Home Administrator confirmed the failure to submit the event to the ERS in a timely manner.
Plan Of Correction
1. The facility reported the allegation of mental abuse for Resident R1 on 11.7.24. 2. Current residents with allegations of alleged mental abuse will be reviewed for the past 14 days to verify they have been reported via the ERS to the Pennsylvania Department of Health. 3. The NHA or designee will re-inservice the management team on requirements of reporting abuse. Residents with allegations of mental abuse will be reviewed during morning meetings to verify that the allegation has been reported via the ERS to the Pennsylvania Department of Health. 4. The NHA or designee will conduct audits of allegations of alleged mental abuse weekly x4 weeks, then monthly x2 months to verify reporting to the Pennsylvania Department of Health has been completed. Results of the audits will be reported at the monthly Quality Assurance Improvement Meetings for review and recommendations.
Penalty
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