Failure to Report Resident-to-Resident Physical Abuse
Penalty
No penalty information released
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 report an incident of resident-to-resident physical abuse to the State Agency as required by its Abuse Prevention Program policy. According to the facility's policy, any suspicion or allegation of abuse, neglect, or exploitation must be immediately reported to the administrator or a designated individual in their absence, and the Department of Public Health's regional office must be informed. On 8/6/25, one resident was pushed by another resident, resulting in a fall and landing on the left side. Progress notes for both residents documented the altercation. However, the administrator confirmed that he was not notified of the incident, and as a result, no investigation or reporting to authorities occurred.