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F0609
D

Failure to Timely Complete and Submit Self-Reported Incident

Middletown, Ohio Survey Completed on 07-31-2025

Penalty

No penalty information released
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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 timely complete and submit a Self-Reported Incident (SRI) to the Ohio Department of Health (ODH) as required. A resident with diagnoses including breast cancer, depressive disorder, and dysphagia, who had intact cognition and required moderate assistance with activities of daily living, was involved in an incident that was discovered and initially reported to ODH on the same day. However, the final investigation report was not completed and submitted to ODH within the required five working days, but instead was submitted nearly two months later. Additionally, the police were not notified at the time of the investigation, but only after the delay was discovered. Facility policy required that the investigation be completed and submitted to ODH within five working days of discovery, which was not followed in this case.

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