Delayed Provision of Required Incident and Abuse Reports
Penalty
Summary
The facility failed to comply with Federal, State, and local laws and regulations by not providing requested accident and incident reports, including those related to abuse and injuries of unknown origin, in a timely manner to the New York State Department of Health surveyor. The surveyor initially requested these documents from the Administrator, who provided some reports but omitted those specifically related to abuse and injuries of unknown origin, stating they were kept separately. Despite multiple requests and clarifications from the surveyor, the facility delayed providing the complete set of required documentation. The Administrator and Director of Nursing eventually provided some of the requested files, but not all were complete or provided promptly. Additional requests for accident and incident reports covering a broader time frame were also not fulfilled in a timely manner, with the final set of documents only being provided after repeated follow-ups. This delay in providing critical documentation constituted a failure to operate in compliance with applicable laws and professional standards.