Failure to Timely Report Resident Elopement
Penalty
Fine: $17,220
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 a resident elopement to the state agency within the required two-hour timeframe. The incident occurred at 12:30 AM, and the Administrator and DON were notified at 1:45 AM, but the report to the state agency was not made until 12:19 AM the following day, exceeding the mandated reporting window. During interviews, the Administrator stated that there was no current policy for reporting such incidents and that both the Administrator and DON are responsible for reporting. The delay was attributed to the incident occurring at night and the Administrator prioritizing getting to the facility to ensure the resident's safety before reporting.