Failure to Submit Final Abuse Investigation Report
Penalty
Summary
The facility failed to complete and submit a final written report of findings following an allegation of verbal abuse involving a resident with hypertension and type 2 diabetes. The incident involved a CNA raising their voice to the resident, who was upset about a missing TV remote. Although the CNA was suspended immediately after the administrator was notified, there was no documentation of the results of the abuse or mistreatment investigation, nor was there evidence that a final report was provided to the appropriate authorities within the required five working days. The Director of Nursing confirmed that the follow-up and final 5-day investigation documentation could not be found. This deficiency was identified through record review and staff interview, and it was noted that the facility's policy required a written report of investigation findings to be submitted to the appropriate agencies or individuals within five working days of the incident.