Failure to Timely Log and Report Incidents
Penalty
Summary
The facility failed to maintain a completed state reporting log for two of the three months reviewed, specifically April and May 2025. Incidents that occurred during these months were not logged within the required five days of discovery, as all incidents for April were entered on the last day of the month and all incidents for May were entered at the end of the month. The dates of the incidents ranged over several days in each month, indicating a delay in timely reporting. During an interview, the administrator stated that the April log was not updated on time due to a new Director of Nursing Services (DNS) and was unaware that the May log was also not updated timely, especially during the DNS's vacation. This failure to log incidents promptly was identified through record review and staff interview.