Failure to Timely Report Suspected Abuse Allegations
Penalty
Summary
The facility failed to report incidents of suspected abuse involving two residents within the required two-hour timeframe to the State Agency. In the first case, a resident experienced a psychotic episode and made physical contact with three other residents. The incident occurred at approximately 9:00 PM, but the report was not submitted to the State Agency until the following afternoon, well beyond the mandated reporting window. Staff interviews confirmed the timing of the incident and the delayed reporting, with the Assistant Director of Nursing acknowledging the late submission was due to the facility's desire to provide accurate data. In the second case, a resident alleged that her husband, who was also a resident, choked her. This allegation was reported by a CNA to a nurse, who then reported it to the nursing supervisor as per facility protocol. However, the Assistant Director of Nursing was not made aware of the allegation, and there was uncertainty among staff regarding the exact date of the incident and whether it was properly reported. The social worker confirmed that the resident's history of making similar allegations was discussed in an interdisciplinary team meeting, but there was no clear documentation or timely reporting of the specific abuse allegation to the State Agency.