Failure to Timely Report Alleged Abuse to Administrator and State Agency
Penalty
Summary
The facility failed to immediately report an allegation of abuse involving a resident with Parkinsonism who required substantial to maximal staff assistance with bathing. The resident, who was not cognitively impaired, reported that two nurse aides treated her abusively during a shower by forcefully removing her clothing, shoving her under cold and then hot water, roughly scrubbing her, and making derogatory remarks about her skin. The resident reported this incident in writing to nursing staff several days after the event. Facility documentation showed no evidence that this allegation was reported to the Administrator or Abuse Prevention Coordinator as required by facility policy. Additionally, there was no documentation that the incident was reported to the State Survey Agency within the required timeframe. The Administrator confirmed during interview that the incident was not reported according to policy.