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F0609
D

Failure to Timely Report Alleged Sexual Abuse to State Agency

Sauk City, Wisconsin Survey Completed on 11-13-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to ensure that an allegation of sexual abuse involving a resident was reported to the State Agency within the required timeframe. On 11/6/25, the facility received an allegation from an outside agency that a resident had experienced inappropriate touching by a male CNA during a bath. The resident described the CNA as a bald, brown-skinned man with a black beard, and stated that the CNA washed only her breasts while she was naked in the tub, then left the room. The incident was alleged to have occurred during the resident's stay, and the resident had only one bath with a male CNA on 9/23/25. Despite the facility's abuse policy requiring immediate reporting of all alleged violations to the State Agency and other authorities within specified timeframes, the DON and NHA did not report the allegation. They reasoned that the report was received nearly a month after the resident had been discharged and that no staff member perfectly matched the description of the alleged perpetrator. As a result, the facility did not fulfill its obligation to report the abuse allegation as required by policy and regulation.

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