Failure to Report Abuse Allegations to DHP as Required by Policy
Penalty
Summary
Facility staff failed to implement their abuse policy regarding timely reporting of allegations involving licensed staff to the Department of Health Professions (DHP) for two residents out of a sample of 26. In both cases, allegations of abuse or neglect involving certified nursing assistants were reported to Adult Protective Services (APS), the ombudsman, and the Virginia Department of Health (VDH), but there was no evidence that DHP was notified as required by facility policy. Documentation for one incident showed confirmation of notifications to APS, ombudsman, and VDH, but not to DHP. In the other case, similar notifications were made, but again, DHP was not notified. During interviews, the administrator initially claimed to have sent the report to DHP, but upon review, the documentation provided was addressed to VDH, not DHP. The administrator later admitted to not faxing allegations to DHP unless they were substantiated, contrary to the facility's written policy, which requires notification within 24 hours for incidents involving licensed or certified staff. No additional information was provided prior to the survey exit.