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F0609
D

Failure to Report and Investigate Alleged Sexual Abuse

Baltimore, Maryland Survey Completed on 04-21-2025

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

Facility staff failed to report an allegation of abuse to regulatory agencies and the Office of Health Care Quality (OHCQ) after a complaint was made regarding a resident sexually harassing a roommate. Medical record review revealed that an LPN documented multiple incidents where the resident exposed and touched their private parts, inviting the roommate to participate, and continued to display this behavior to anyone entering the room. Despite these documented observations, no investigation was initiated, and the Nursing Home Administrator confirmed he was unaware of the incidents and that no report or investigation had been conducted.

See complete original report
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