Failure to Conduct Thorough Abuse Investigations
Penalty
Summary
The facility failed to conduct thorough investigations into allegations of abuse for two residents. In the first case, the facility's investigation into an abuse allegation did not include interviews with staff or the collection of staff statements. The Director of Nursing (DON) confirmed during an interview that these steps were not completed and was unable to locate any staff interviews or statements related to the incident. In the second case, the investigation into another abuse allegation similarly lacked interviews with both residents and staff, as well as the collection of their statements. The DON again confirmed the absence of these critical investigative components and was unable to provide any documentation of interviews or statements when requested by the surveyor.