Incomplete Staff Interviews During Abuse Investigation
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
Facility staff failed to interview all personnel who worked on the unit during the investigation of an alleged abuse incident involving Resident #74. Record review revealed that statements from all staff present during the time of the alleged incident were not included in the investigation documentation. During an interview, the DON acknowledged that not all relevant staff, including two GNAs and a nurse who were on duty, had been interviewed as part of the investigative process, despite the facility's usual practice to do so. The omission of these interviews was not explained, and the investigation file lacked statements from all staff who were present during the alleged event.