Failure to Timely Report Allegation of Abuse to State Agency
Penalty
Summary
The facility failed to timely report an allegation of staff-to-resident physical abuse to the State Agency as required. On 8/28/25, a resident without cognitive impairment made a statement to a physician during a clinic appointment, alleging that staff at the facility were 'beating me up.' The facility scheduler who heard the allegation informed the administrator the same day. However, the administrator did not consider the incident reportable because the resident could not provide specific details or identify the staff member involved and was unwilling to discuss the incident further. As a result, the allegation was not reported to the State Agency at that time. Additionally, the DON became aware of a related grievance from the same resident on 9/5/25, regarding rough care by a nursing assistant. The DON completed a grievance form and spoke with the staff member involved but did not report the incident to the State Agency, as she did not consider rough care to be a reportable event. Facility policy requires that all allegations of abuse be reported immediately to the administrator and to the appropriate state entity within two hours of the allegation. The failure to report the resident's allegation of abuse in a timely manner constitutes a deficiency.