Failure to Document Investigation of Neglect Allegation
Penalty
Summary
The facility failed to thoroughly document the investigation of an alleged neglect incident involving a resident with diagnoses including heart failure, Parkinson's disease, and respiratory failure. The incident involved a Certified Nurse's Aide (CNA) who was reported to have provided no care to the resident during a 12-hour overnight shift, leaving the resident in her room for most of that period. The administrator was notified of the incident and began an immediate investigation by contacting staff by phone. Despite initiating an investigation, the administrator did not provide any written documentation of the interviews conducted, the investigation process, or any follow-up training related to the incident. The only documentation available was a follow-up report summarizing the incident, with no supporting evidence or records of staff interviews or retraining. This lack of thorough documentation led to the deficiency cited in the report.