Failure to Thoroughly Investigate Abuse Allegation
Penalty
Summary
Facility staff failed to thoroughly investigate an allegation of abuse made by a resident, who reported being pushed and choked by a nursing staff member. The facility's investigation into the incident did not include interviews with other residents to determine whether there was evidence of widespread abuse by staff. This omission was confirmed during an interview with the Administrator, who acknowledged that the investigation lacked resident interviews to disprove broader abuse concerns. The deficiency was identified during a complaint/annual survey, and the findings were based on medical record review and staff interviews. The report specifically notes that the investigation was incomplete due to the absence of additional resident interviews related to the abuse allegation.