Failure to Timely Report Abuse and Misappropriation Allegations
Penalty
Summary
The facility failed to timely report allegations of abuse, neglect, or misappropriation of resident property as required by regulations. In one instance, a resident reported that $20.00 was stolen from their room, but the facility did not follow up with the resident or report the incident to the Office of Health Care Quality or other appropriate agencies within 24 hours. Documentation showed that the facility was aware of the missing money on 10/03/24, but the incident was not reported until brought to the attention of staff by a surveyor several months later. Staff interviews confirmed that the report was not made in a timely manner. Additionally, the facility failed to report two separate allegations of abuse within the required two-hour timeframe. In one case, the Assistant Director of Nursing was notified of possible abuse at midnight, the Nursing Home Administrator was informed at 7am, but the initial report to the State Agency was not submitted until 3:15pm. In another case, the DON was made aware of an abuse allegation at 11am, the administrator at 11:30am, and the report was submitted at 4pm, all outside the mandated two-hour window. These failures were identified during a review of 19 facility-related incident reports, with three incidents not reported in accordance with regulatory requirements.