Failure to Timely Report Alleged Physical Abuse
Penalty
Summary
The facility failed to report an allegation of physical abuse involving a resident to the State Survey Agency within the required two-hour timeframe. On 06/05/2025, a CNA reported to an LPN that a resident, who had severe cognitive impairment and multiple psychiatric diagnoses, alleged being punched in the genital area by a night shift staff member. The LPN assessed the resident, who reported soreness, and notified the Interim Administrator. However, there was no documentation that the State Survey Agency, medical provider, family, or law enforcement were notified of the allegation as required. The Interim Administrator conducted an internal investigation, including interviews with staff and the resident, but did not report the allegation externally because the resident's account was inconsistent and the administrator believed the claim could not be substantiated. The facility's abuse prevention policy required reporting all allegations of abuse within federal timeframes, but the administrator did not follow this procedure. The lack of timely reporting was confirmed through record review, interviews, and policy review, and no further documentation of required notifications was provided.