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F0609
D

Failure to Report Alleged Abuse to Proper Authorities

Tulare, California Survey Completed on 04-30-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to follow its own policy and procedure regarding the timely reporting of an allegation of abuse. Specifically, a resident reported to the DON that a male CNA was rough on purpose during a wheelchair transfer, which caused the resident pain. Progress notes documented the resident's statement, and the DON confirmed the report was made. However, during a review of records and interviews, it was determined that the required SOC 341 form, which is used to report suspected abuse, was not sent to the Ombudsman as mandated by facility policy. The fax transmittal record showed the form was not sent to the correct fax number for the Ombudsman, and the Administrator confirmed the omission. The facility's policy required that the SOC 341 be sent to the Ombudsman, Law Enforcement, and CDPH Licensing Certification within two hours of the allegation.

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