Failure to Timely Report Allegation of Neglect
Penalty
Summary
The facility failed to report an allegation of neglect within 24 hours to the local state field office for one resident. The resident, who had a history of anemia, renal failure, and osteoarthritis, was involved in an incident where they rolled out of bed onto their knees while being assisted by staff. The event was documented in the resident's progress notes, and the resident was assisted back to bed by three staff members using a Hoyer lift, with no redness observed on the knees at the time. However, a review of documentation submitted to the state field office showed that this incident was not reported as required. The Director of Nursing confirmed during an interview that the facility did not report the allegation of neglect within the mandated timeframe.