Failure to Timely Submit Abuse Investigation Summary
Penalty
Summary
The facility failed to complete and submit an investigation summary regarding an alleged abuse incident that occurred between two residents. On the night of the incident, staff heard yelling and an argument between the two residents, leading to one resident being transferred to another room. The following morning, one resident reported to the DON and Social Services Director that her roommate had tapped her on the back of the head, making her uncomfortable. An assessment was conducted, and no injuries or pain were noted, and the primary physician was notified. Despite the incident being reported to the police, Ombudsman, and the state survey agency, the facility did not provide a written investigation summary to the state agency within the required five working days. The administrator confirmed that there was no fax transmittal confirmation for the five-day summary or investigation summary for the incident, except for a much later fax confirmation. The facility's policy requires prompt reporting and thorough investigation of abuse allegations, with findings reported to appropriate agencies within five working days, which was not followed in this case.