Failure to Timely Report Alleged Verbal Abuse to State Agency
Penalty
Summary
The facility failed to report an allegation of visitor-to-resident verbal abuse to the state agency as required. On the early morning of 12/3/25, a resident (R2) reported to an LPN (V7) that her roommate's daughter (V6) was being verbally abusive, including swearing and making derogatory remarks. The LPN intervened, asked the visitor to leave, and documented the incident, including taking photos of a subsequent event where the resident's bed was found soaked with liquid. The LPN reported the incident to the facility's Abuse Coordinator (V1) via text message later that morning. Despite the internal report, the Administrator (V1) did not notify the state agency of the alleged abuse within the required two-hour timeframe, citing a chaotic morning as the reason for the oversight. The facility's own policy mandates immediate reporting, but as of 12/5/25, there was no documentation that the incident had been reported to the Illinois Department of Public Health. The deficiency centers on the failure to timely report the abuse allegation to the appropriate authorities as required by both regulation and facility policy.