Failure to Investigate Alleged Abuse and Neglect
Penalty
Summary
The facility failed to conduct a thorough investigation into an allegation of potential abuse and neglect involving a resident with end stage renal disease who was cognitively intact. The incident was reported by the resident's family, who described that the resident requested assistance from a CNA to use the bathroom but was told to get into bed instead. After being put in bed, the resident had an accident, and when the aide returned, she reportedly used a demeaning tone and was forceful while providing care, leaving the resident feeling hurt and embarrassed. The family formally requested an apology and assurance of safety for the resident. Despite the grievance being documented and the staff member identified, there was no documented evidence that an investigation was completed regarding the concern of abuse and neglect. The only action noted was that the CNA received education on customer service and perineal care. The Director of Nursing confirmed that no investigation documentation existed for this incident, which is contrary to the facility's policy requiring immediate and thorough investigation of all alleged violations.