Failure to Investigate Alleged Abuse Incident
Penalty
Summary
The facility failed to investigate an allegation of abuse involving one resident who experienced an episode of incontinence resulting in a significant mess. The resident reported feeling embarrassed and stated that a CNA made a derogatory comment about cleaning up the mess and told the resident to clean it up herself, while two other CNAs laughed at her. The resident did not initially report the incident to nursing staff but called her daughter, who then contacted the LPN on duty. The LPN reported the allegation to the DON, but the Administrator was not made aware of the incident and no investigation was initiated, as required by facility policy. The lack of investigation into the reported abuse constituted a failure to respond appropriately to an alleged violation.