Failure to Implement Abuse Prevention and Reporting Policy
Penalty
Summary
The facility failed to implement its Abuse Prevention and Reporting Policy when an incident occurred involving one resident hitting and yelling at another resident. A Certified Nursing Assistant (CNA) reported the incident to the Administrator, but the Administrator did not notify the State Agency or conduct an investigation as required by facility policy. Additionally, there was no documentation in either resident's medical record indicating that the incident was reported to the State Agency or to the residents' representatives. Interviews confirmed that the CNA notified the Administrator of the altercation, but the residents' representatives were not informed of the event. The facility's policy requires prompt investigation and notification of both the State Agency and the residents' representatives in cases of alleged abuse. The lack of documentation and failure to follow reporting procedures resulted in the facility not meeting its own standards for abuse prevention and reporting.