Failure to Report Alleged Abuse to ODH
Penalty
Summary
The facility failed to report an allegation of resident abuse to the Ohio Department of Health (ODH) as required by their policy. The incident involved a resident with dementia, depression, anxiety disorder, and psychotic disorder with delusions, who was cognitively impaired and required maximal staff assistance with activities of daily living. On a specific date, a Certified Nursing Assistant (CNA) reported an allegation of abuse against the resident by a Registered Nurse (RN). The CNA did not witness the incident but was informed by another CNA. The alleged incident involved the RN rushing past the resident and bumping shoulders, without causing the resident to stumble or fall. The facility conducted an internal investigation on the same day, interviewing involved staff members, and found no negative findings. Despite this, the facility's policy required that all allegations of abuse be reported to ODH immediately, but no later than two hours after the allegation was made. The Administrator decided not to report the incident to ODH, believing the investigation showed the facility was not out of compliance. This decision was contrary to the facility's policy, which mandates reporting all allegations of abuse to the appropriate authorities.
Plan Of Correction
F-0609 On 3/21/2025, Administrator completed a review of the ODH gateway and all SRI's have been reported timely/appropriately since 3/21/2025. SRI for Resident #3 will be submitted to the ODH Gateway EIDC system on or before 3/21/2025 for POC compliance. The facility Administrator was educated by the Regional Director of Operations on company Abuse, Neglect, Exploitation, Mistreatment and Misappropriation prevention and reporting policy on 3/21/2025. The facility Administrator or facility designee will audit 2x's a week for a period of 2 weeks then 1x a week for a period of 2 weeks to ensure all submitted State Reportable Incidents were reported timely/appropriately per reporting policy. The DON or designee will educate all staff on abuse and abuse reporting by 3/28/2025. Education included Abuse Policy and Timeliness of Abuse Reporting for Cridersville Healthcare. The DON or designee will review resident records for the last 2 weeks to ensure that there were no other allegations of abuse that were not reported by 3/24/2028. There was a total of 52 residents that were reviewed because they were in the building during this timeframe. Administrator reviewed all abuse allegations for last 30 days to make sure there was nothing else that wasn't reported. All results will be submitted to QAPI for review and determined if any further action is needed.