Failure to Immediately Report Alleged Abuse to Administration
Penalty
Summary
The facility failed to ensure that an allegation of abuse was immediately reported to administration for one resident. The resident reported that a CNA confronted her about a previous complaint, stated "I will show you how mean I am," and then slammed the resident's door. The resident expressed discomfort and a desire not to be cared for by the CNA again. The resident reported the incident to another CNA, who then informed the weekend manager. However, the full details of the incident, including the potentially abusive statement and door slamming, were not communicated to the weekend manager or the administrator in a timely manner. As a result, the facility's initial abuse investigation was not initiated until approximately 24 hours after the allegation was made. The administrator confirmed that she was not informed of the specific allegations until the following day, delaying the start of the investigation. The facility's policy requires immediate reporting of any abuse allegations to the administrator, either directly or through a supervisor, but this protocol was not followed in this instance.