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F0943
E

Failure to Train Staff on Abuse Reporting Procedures and Update Abuse Coordinator Information

Brookshire, Texas Survey Completed on 09-13-2025

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 all staff were trained in the procedures for reporting abuse, neglect, exploitation, or misappropriation of resident property. Six out of six employees reviewed had not received training on the identity of the Abuse Coordinator or the procedures for reporting abuse. Observations during the onsite visit revealed that the facility had not updated the signage and posting of the facility's Abuse Coordinator, which still reflected the contact information of a former employee who was terminated nearly a month prior. Interviews with the Director of Nursing and the VP of Operations confirmed that the facility had not provided updated training or information to staff regarding the new Abuse Coordinator or the reporting process. During staff interviews, all six direct care staff members were unable to identify the current Abuse Coordinator and reported not having received recent or updated in-service training on abuse reporting protocols. The facility was unable to provide documentation or sign-in sheets showing that such training had been conducted within the last 30 days, despite multiple requests. This lack of training and updated information on abuse reporting procedures was directly observed and confirmed through interviews and record review.

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