Failure to Investigate Alleged Staff Intoxication During Resident Outing
Penalty
Summary
The facility failed to provide evidence that all alleged violations of abuse, neglect, or mistreatment were thoroughly investigated for three residents. Specifically, allegations were made that a staff member drove residents while being intoxicated, but there was no documentation in the medical records of the involved residents regarding the incident, nor was there any investigation provided by the facility. The residents involved had significant medical conditions, including dementia, osteoporosis, macular degeneration, chronic pain, cerebral palsy, muscle weakness, major depressive disorder, Lupus, anxiety, and a history of falling. Interviews with the Administrator and CEO revealed that the incident involved a staff member being stopped by authorities due to alcohol containers found in the facility vehicle while transporting residents on an outing. Both the Administrator and CEO confirmed that staff are not permitted to consume alcohol or have alcohol in facility vehicles while on duty. Despite these policies, the incident was not reported to the State Agency, and no investigation was conducted or documented by the facility.