Failure to Report Alleged Abuse to State Authorities
Penalty
Summary
The facility failed to report an allegation of suspected resident abuse to the Office of Health Care Quality (OHCQ) as required. On 11/10/2022, a resident alleged that staff members washed them in a rough manner while providing assistance with activities of daily living. Nursing progress notes documented the resident's refusal to be changed by two aides, stating they did not want to be abused, and that the incident was reported to the writer and the Assistant Director of Nursing (ADON). Further documentation described the resident as combative during care, with staff intervention including a shower, transfer with a Hoyer lift, and subsequent aggressive behavior by the resident. The police were called, and the resident refused to speak with the officer. The responsible party was notified, and a psychiatric consult was requested. Upon surveyor request, the facility was unable to provide an investigative record related to the incident, and the Administrator could not confirm that the allegation of abuse was reported to OHCQ. The Administrator acknowledged the expectation to report all abuse allegations in a timely manner but was unable to provide evidence that the required notification occurred. No additional documentation was provided to show that the OHCQ was notified of the resident's allegation.