Failure to Report Allegation of Neglect
Penalty
Summary
The facility failed to report an allegation of neglect involving one resident. The resident, who had multiple sclerosis and neuromuscular dysfunction of the bladder, was re-admitted to the facility and had a suprapubic catheter in place. According to a physician's order, the catheter was to be emptied every two hours with documentation. On one occasion, the resident reported through a grievance form that a CNA did not empty the catheter bag as required, resulting in the bag containing 1300cc of urine instead of the usual 500cc. The resident expressed concern about potential illness due to this incident. The facility's policy required all allegations of abuse or neglect to be reported to the appropriate authorities, including the PA Department of Health/Long Term Care Division. However, a review of reports submitted to the state field office showed that this specific allegation was not reported. The Assistant Director of Nursing confirmed during an interview that the facility did not report the resident's allegation of neglect as required by policy and state regulations.