Stay Ahead of Compliance with Monthly Citation Updates


In your State Survey window and need a snapshot of your risks?

Survey Preparedness Report

One Time Fee
$79
  • Last 12 months of citation data in one tailored report
  • Pinpoint the tags driving penalties in facilities like yours
  • Jump to regulations and pathways used by surveyors
  • Access to your report within 2 hours of purchase
  • Easily share it with your team - no registration needed
Get Your Report Now →

Monthly citation updates straight to your inbox for ongoing preparation?

Monthly Citation Reports

$18.90 per month
  • Latest citation updates delivered monthly to your email
  • Citations organized by compliance areas
  • Shared automatically with your team, by area
  • Customizable for your state(s) of interest
  • Direct links to CMS documentation relevant parts
Learn more →

Save Hours of Work with AI-Powered Plan of Correction Writer


One-Time Fee

$49 per Plan of Correction
Volume discounts available – save up to 20%
  • Quickly search for approved POC from other facilities
  • Instant access
  • Intuitive interface
  • No recurring fees
  • Save hours of work
F0609
E

Failure to Timely Report Allegations of Abuse Involving Two Residents

Pasadena, California Survey Completed on 05-05-2025

Penalty

No penalty information released
tooltip icon
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 allegations of physical and verbal abuse involving two residents within the required 2-hour timeframe to the State Survey Agency and the state ombudsman, as mandated by the facility's abuse policy. The incidents involved a family member (FM) who was observed by a Certified Nursing Assistant (CNA) and another resident engaging in abusive behavior towards a resident, including pulling the resident's hair, pushing her head down, and yelling at her. The CNA reported the incident to the Licensed Vocational Nurse (LVN) and Registered Nurse Supervisor (RNS), who in turn informed the Director of Nursing (DON). However, no immediate report was made to the appropriate authorities as required by policy. Resident 1, who had a history of acute respiratory failure, anxiety disorder, and hypertension, was cognitively impaired and required significant assistance with daily activities. The abuse incident occurred while the resident was brushing her teeth and vomiting, during which the family member became angry, pulled her hair, and pushed her head down while yelling. The CNA intervened and later contacted the police when she did not receive a response from the facility administrator. The police arrived, and the resident was placed on monitoring for emotional distress. Interviews with staff confirmed that the incident was not reported to the Department of Public Health (CDPH) within the required timeframe, and the DON acknowledged forgetting to make the report. A second resident, who had a history of falls and fractures, also reported being verbally abused by the same family member, who yelled at her and told her to "shut up" multiple times. This resident expressed anxiety and distress related to the family member's presence. The facility's policy clearly states that all allegations of abuse, including those involving family members, must be reported immediately, but this protocol was not followed in these cases. The failure to report these incidents as required constituted a deficiency in the facility's abuse prevention and reporting practices.

An unhandled error has occurred. Reload 🗙