Failure to Report Resident-to-Resident Abuse Incident
Penalty
No penalty information released
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Summary
The facility failed to report an incident of resident-to-resident abuse to the state agency as required by its own abuse policy and state law. Specifically, a resident with dementia and severe cognitive impairment, who exhibited verbal and physical behaviors, entered another resident's room and slapped them on the face. Although the incident was documented in an incident report, there was no evidence in the facility's reporting system that the event had been reported to the appropriate state agency. During an interview, the Director of Nursing acknowledged that the incident should have been reported.