Delayed Reporting of Misappropriation Allegation
Penalty
Summary
The facility failed to ensure that an allegation of misappropriation of resident property involving a certified nursing assistant was reported to the State Agency within the required timeframe. A resident with Alzheimer's disease and dementia was admitted and later had a nursing progress note documenting an allegation of misappropriation on 07/27/2025. However, the facility did not report this allegation to the State Survey Agency until 07/29/2025, exceeding the required reporting window as outlined in facility policy and regulatory requirements. Interviews with staff, including an LPN, the DON, and the Administrator, confirmed knowledge of the abuse reporting policy, which requires immediate reporting of such allegations, defined as within two hours for abuse involving physical harm or within 24 hours for other allegations, including misappropriation. The Administrator explained that the nurse notified the abuse coordinator by entering information into the electronic health record, which only generated an alert for the next user login, rather than immediate notification. The Social Services Director initiated an investigation the following day, and the initial report to the State Agency was delayed, not meeting the facility's policy or regulatory requirements.