Failure to Thoroughly Investigate Resident-to-Resident Assault
Penalty
No penalty information released
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 conduct a thorough investigation following a resident-to-resident physical assault. According to progress notes, one resident was kicked in the leg by another resident while in the dining area. The facility's investigative documentation showed that only the two residents involved and staff on duty at the time were interviewed. There was no evidence that other residents were interviewed to determine if the resident who committed the assault had harmed anyone else. The Director of Nursing confirmed that they had not considered interviewing additional residents as part of the investigation, despite facility policy requiring all reports of abuse to be thoroughly and promptly investigated.