Failure to Timely Report Alleged Sexual Abuse
Penalty
Summary
The facility failed to ensure that alleged violations involving sexual abuse were reported immediately, but no later than two hours after the allegation was made, for two residents. One resident, who was severely cognitively impaired following a stroke, and another resident, who was cognitively intact with a history of dementia and agitation, were involved in an incident where staff witnessed one resident touch the other's breast in the dining area. Although the incident occurred at approximately 5:45 PM and was reported to a registered nurse at around 8:15 PM, the formal report to the State Agency was not submitted until 9:23 PM. The administrator acknowledged that the facility did not report the alleged sexual abuse in a timely manner as required.