Failure to Notify Physician of Alleged Abuse Incident
Penalty
Summary
The facility failed to notify the physician of a change in condition for a resident with severe cognitive impairment and multiple diagnoses, including dementia, depression, and anxiety. An allegation was made that a male LPN had inappropriately touched the resident's chest while attempting to administer medication. The incident was reported by another resident and communicated to the Administrator by the LPN, and the resident's Power of Attorney requested that the LPN not return to the room. The Administrator initiated an investigation and spoke with the involved parties, including the resident, who appeared confused during questioning. Despite the facility's policy requiring physician notification for significant changes in condition or allegations of abuse, there was no documentation in the medical record that the physician was notified of the alleged incident. The Administrator confirmed that although she had notified the physician, this was not documented, and the involved LPN was unsure of the requirement to notify the physician. Nurse's notes for the relevant period did not reflect any physician notification regarding the allegation.