Failure to Prevent Exploitation and Incomplete Investigation of Alleged Abuse
Penalty
Summary
The facility failed to prevent potential misappropriation of property and exploitation, and did not conduct thorough investigations into two incidents involving a resident with multiple sclerosis, neurogenic bladder, anxiety, and depression, who was cognitively intact. Staff had reported that the resident and a registered nurse (RN) hugged and kissed, but the facility did not confirm the incidents after the resident denied them, and therefore did not report the alleged abuse to the state. There was no documentation of separation between the resident and the staff member during the investigation, nor were there records of the dates of staff reports, written statements, or interviews with involved parties to verify a comprehensive investigation. Further, a police investigation revealed that a prescription medication belonging to the resident was found in the former RN's possession, and the facility could not provide evidence of medication cart or storage room audits prior to this discovery. The resident confirmed a close relationship with the RN, including giving her money and sharing personal interactions. The facility's own policy required immediate and thorough investigation of abuse, neglect, or exploitation allegations, including documentation and interviews, but these procedures were not followed as required.