Failure to Timely Report Suspected Abuse, Neglect, and Misappropriation
Penalty
Summary
The facility failed to report incidents of suspected abuse, neglect, or misappropriation of resident property to the state agency within the required timeframes. In one case, a resident with dementia was found with discoloration around the left eye during morning care, and the injury of unknown origin was not reported to the state agency until later the same day, after the DON and NHA were notified. In another incident, a resident was struck by another resident, resulting in a fall and head injury; this alleged resident-to-resident abuse was not reported to the state agency within the mandated 2-hour window after the NHA was made aware of the event. Additionally, a complaint regarding a $1000 deduction from a resident's funds was not reported to the proper authorities after the concern was brought to the attention of the NHA. The business office manager investigated the missing funds and, upon failing to find a record of the transaction, notified the NHA, who acknowledged awareness of the issue but did not report the alleged misappropriation to the state agency. These failures were identified through record review and staff interviews, and were found to be part of an ongoing issue with timely reporting of such incidents.