Failure to Timely Report Alleged Abuse
Penalty
Summary
The facility failed to ensure that staff timely reported allegations of abuse involving a resident with severe cognitive impairment and multiple medical conditions, including dementia and chronic kidney disease. The incident involved a bruise found under the resident's left eye and on the left wrist, with the resident stating that someone had hit her, though she could not provide further details. A CNA who was present during care reported that another CNA was aggressive while assisting the resident with a transfer, including grabbing the resident's wrists and throwing her onto the bed, but did not witness any direct contact with the resident's face. The CNA who witnessed the aggressive behavior did not immediately report the incident, stating she was new to healthcare and unsure of the reporting process. Facility policy requires all employees to immediately report any known instances of abuse, neglect, or misappropriation of property. Despite this, the incident was not reported in a timely manner. The investigation into the allegation was ultimately unsubstantiated due to inconclusive evidence, but the delay in reporting constituted a failure to follow established procedures for the timely reporting of suspected abuse.