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F0609
D

Failure to Report Verbal Abuse Incident to State Agency

Woodstock, Illinois Survey Completed on 04-30-2025

Penalty

No penalty information released
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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 verbal abuse to the state agency as required by policy. On the morning of 6/9/25, one resident became verbally aggressive while being assisted back to their room, using foul language and racial slurs. As this resident passed another resident's doorway, a verbal exchange occurred, during which one resident called the other a derogatory name and acted in a hostile manner. The Director of Nursing was aware of the incident but did not report it to the state agency, considering it a verbal altercation rather than verbal abuse. The Administrator was initially unaware of the incident and, upon learning more, found that the affected resident did perceive the event as verbally abusive. The facility's policy requires immediate reporting of all alleged violations involving abuse, but this was not followed in this case.

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