Failure to Timely Report Alleged Incidents to State Agency
Penalty
No penalty information released
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
Facility staff failed to notify the state agency within the required two-hour timeframe after becoming aware of alleged incidents involving two residents. In the first case, staff became aware of an alleged incident at 6:50 AM and reported it to the state agency at 9:23 AM, exceeding the two-hour reporting window. In the second case, staff became aware of an alleged incident at 1:40 PM and reported it at 3:51 PM, again outside the required timeframe. These findings were confirmed through record review and staff interviews, which established that the Administrator, DON, or ADON are responsible for reporting such incidents, and that the facility's policy is to report allegations of abuse as soon as possible, within two hours.