Failure to Submit Required PB-22 Forms for Abuse and Neglect Allegations
Penalty
Summary
The facility failed to submit completed PB-22 forms to the Department as required for six separate reported events involving allegations of abuse, neglect, or misappropriation of property. Each event involved a resident making an allegation against staff, including nurse aides, a van driver, the Director of Nursing, and a licensed nurse. The allegations included failure to provide proper care after a bowel movement, not providing care overnight resulting in a resident being found wet with urine, verbal altercations with staff, failure to provide proper care during a bath, not providing drinking water, and inappropriate response to requests for pain medication. Despite multiple notifications and reminders sent electronically to the Nursing Home Administrator and the Director of Nursing over several months, the required PB-22 forms for these events were not completed or submitted. Interviews with facility leadership confirmed the ongoing failure to complete the forms, and documentation reviews on several occasions showed that the deficiency persisted. The lack of submission of these forms was confirmed repeatedly by both the Nursing Home Administrator and the Director of Nursing.
Plan Of Correction
Submitted all outstanding PB22's to event report portal. Re-education for NHA and DON on timely submission of PB22's. Audit weekly x4 and monthly x3 to be completed by corporate team to determine timely submission of all PB22's. Results of audits will be submitted to monthly QAPI meeting. I Certify This Document to be a True and Correct Statement of Deficiencies and Approved Facility Plan of Correction for the Above-Identified Facility Survey.