Failure to Thoroughly Investigate Allegation of Neglect
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 thoroughly investigate an allegation of neglect involving a resident with dementia and dysphagia who required tube feedings if they consumed less than 50% of their meal. An incident report documented that a certified medication aide (CMA) did not administer the resident's breakfast and lunch tube feedings but falsely documented that the feedings had been given. Although the CMA was suspended and later terminated based on video evidence and record review, the facility's investigation did not include interviews with other staff or residents as required by facility policy. The administrator confirmed that no such interviews were conducted during the investigation.