Failure to Report Resident-to-Resident Abuse Incident
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 statewide incident management system (SIMS) as required by policy. According to the facility's policy, any incident where abuse is determined or cannot be ruled out must be reported to the state surveying agency. Documentation showed that one resident complained of pain and was found to have a swollen upper lip after being hit by another resident. A CNA witnessed the incident, observing one resident repeatedly hitting another in the face. Despite these findings, the administrator did not consider the event to be abuse and did not report it to SIMS, as confirmed during an interview.