Failure to Timely Report Resident-to-Resident Abuse Allegation
Penalty
Summary
The facility failed to follow its policy and procedure for timely reporting of an allegation of resident-to-resident abuse. On 4/27/25, a resident with chronic kidney disease and no cognitive deficits alleged that another resident, who has schizoaffective disorder and mild cognitive impairment, engaged in inappropriate behavior toward him. The incident was documented in progress notes, and immediate actions were taken, including separating the residents, initiating 1:1 monitoring, conducting a body check, and notifying the medical doctor, family, and police. A petition for involuntary admission was also completed for the alleged perpetrator. Despite these actions, the facility did not report the incident to the Illinois Department of Public Health (IDPH) as required by its Abuse Prevention Program policy, which mandates immediate reporting, but not later than two hours after the allegation is made if abuse is involved. The incident, which occurred on 4/27/25, was not reported to IDPH until 7/17/25, well beyond the required timeframe. The administrator confirmed that this was a reportable incident and acknowledged the delay in reporting.