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F0609
D

Failure to Report Potential Sexual Abuse to State Survey Agency

Mandan, North Dakota Survey Completed on 05-15-2025

Penalty

Fine: $12,73525 days payment denial
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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

The facility failed to report incidents of potential abuse involving two residents who displayed sexual behaviors towards each other to the State Survey Agency (SSA), as required by facility policy. According to the policy, all incidents and results of investigations must be reported to the SSA within five working days. Record review showed that one resident could not recall the incident when questioned, while the other admitted to entering a female resident's room, holding her hand, and kissing her. Despite these documented events, the facility did not report the incident as potential abuse to the SSA.

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