Failure to Timely Report Alleged Abuse to Executive Director
Penalty
Summary
The facility failed to follow its Abuse Prevention Policy for a resident with intact cognition and a history of stroke who was dependent on staff for care. On 08/13/25, the resident's health care agent informed the Unit Manager that the resident had alleged that a CNA was rough during pericare on 08/10/25, even after being asked to stop. According to the facility's policy, all allegations of abuse must be reported immediately, but no later than two hours if abuse is involved, to the Executive Director and appropriate authorities. Despite this policy, the Unit Manager did not notify the Executive Director of the allegation until the following day, assuming the DON would inform him. The DON stated she was not aware of the allegation until it was discussed in a daily meeting on 08/14/25. The Executive Director confirmed he was not made aware until that meeting. This delay in reporting resulted in the facility not adhering to its own policy regarding the timely reporting of abuse allegations.