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F0609
D

Failure to Submit Required Investigation Report for Misappropriation Allegation

Waco, Texas Survey Completed on 08-15-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to report the findings of an investigation into an allegation of misappropriation of property involving a resident, as required by state law. Although the initial incident was reported to the Texas Health and Human Services Commission (HHSC) on the date of occurrence, a Provider Investigation Report (Form 3613-A) was not submitted through the TULIP system. Record review confirmed the absence of the required report, and the Administrator stated during interview that she believed submitting the initial report online fulfilled the reporting requirement, and therefore did not complete the 3613-A form. Facility policy requires the Administrator and Director of Nursing to investigate and report all alleged violations, including misappropriation of resident property, and to submit findings in accordance with state regulations. State guidance specifies that a Provider Investigation Report must be submitted within five working days of the incident, including all investigation findings and any additional information obtained. The failure to submit the required investigation report for the incident involving misappropriation of property resulted in noncompliance with state reporting requirements.

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