Failure to Investigate Alleged Abuse
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 investigate an allegation of abuse involving one resident. According to facility policy, any reported or suspected incident of abuse, neglect, or exploitation requires an investigation by the administrator or designee, with protective measures implemented as needed. Documentation review showed that a resident filed a grievance stating that a CNA spoke to him disrespectfully, threw a shirt at him, told him to put it on, refused to assist with putting on socks, and then left the room without returning. An interview with the Director of Nursing confirmed that this abuse allegation was not fully investigated, contrary to facility policy and regulatory requirements.