Failure to Timely Report Alleged Abuse to State Agency
Penalty
Summary
The facility failed to ensure that all alleged violations of abuse were reported to the State Survey Agency (SSA) within the required 2-hour timeframe. The grievance log showed that the facility received an incident report from a school regarding a possible abuse event involving a respiratory therapist and a resident, where the resident was visibly upset during oral care and the therapist restrained the resident's hands to continue the procedure. Although the facility's abuse coordinator was contacted after receiving the incident report, a review of the SSA's facility reported incident system revealed that the incident was not reported as required. During an interview, the Director of Nursing was unable to confirm whether the abuse coordinator had reported the allegation to the state.