Failure to Timely Complete and Submit Abuse Investigation Report
Penalty
Summary
The facility failed to complete and submit a final investigation report in a timely manner following an allegation of sexual abuse involving one resident. The resident reported to Emergency Medical Services that a registered nurse had sexually assaulted them, and the incident was reported to the Central Registry Unit. The facility's abuse policy requires that the person in charge of the investigation report the conclusions within five working days of the incident, including detailed documentation and a final written report to the Department of Health and Senior Services. Despite these requirements, as of seven business days after the initial report, the facility had not completed the investigation or submitted the final report. The administrator acknowledged during an interview that the investigation was incomplete, with no written statements obtained from either the accused nurse or the resident. The administrator also stated he was unaware that a final report was required since the facility had determined there was no abuse.