Delayed Reporting of Injury of Unknown Origin
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
The facility failed to report an injury of unknown origin to the State Agency (SA) within the required two-hour timeframe after discovering the incident. Record review showed that the facility became aware of a resident's injury at 7:20 AM and did not report it to the SA until 11:02 AM, resulting in a delay of approximately 3 hours and 42 minutes. This delay exceeded the regulatory requirement for timely reporting of such incidents. The deficiency was identified during a complaint survey and was confirmed through review of the facility's investigation packet and interviews with facility staff.