Failure to Remove Accused Staff and Report Abuse Allegations
Penalty
Summary
Facility administration failed to use its resources effectively and efficiently to ensure resident safety and maintain the highest practicable physical and mental functioning of residents. Specifically, after an allegation of physical abuse by a nurse aide against a resident, the facility did not immediately remove the accused employee from resident contact while the allegation was unresolved. This allowed the employee continued access to residents, placing them at risk. The failure to implement immediate protective measures resulted in Immediate Jeopardy cited at F600. Further review revealed that the facility did not fulfill mandatory reporting obligations for additional abuse allegations involving two other residents and two nurse aides. The facility failed to report these allegations to the State Survey Agency and other required officials, and did not conduct investigations into these incidents. The lack of timely reporting and investigation prevented the facility from determining whether abuse had occurred, identifying and removing potential perpetrators, and implementing protective measures to prevent further harm.