Failure to Timely Report Allegations of Abuse, Neglect, or Injury of Unknown Origin
Penalty
Summary
The facility failed to report allegations of abuse, neglect, or injury of unknown origin to the regulatory agency, the Office of Health Care Quality (OHCQ), within the required 2-hour timeframe for two residents. In one case, a resident was noted to have swelling and dark discoloration on the right thumb, with pain and tenderness, and a staff member observed bruises on both arms but did not immediately report this to the nurse due to her being occupied. The incident, classified as an injury of unknown origin, was not reported to OHCQ on the day it was first observed. In another instance, a visitor alleged that a resident had been inappropriately touched, and the facility became aware of this allegation but did not report it to OHCQ within the mandated 2-hour window. The initial report was sent the following day, outside the required timeframe. Interviews with facility leadership confirmed that both incidents were not reported in a timely manner as required by regulations.