Failure to Timely Report Alleged Verbal Abuse
Penalty
Summary
The facility failed to implement its abuse reporting policy by not reporting an allegation of verbal abuse in a timely manner for one resident. Resident B, who had multiple diagnoses including dementia, anxiety, depression, and cognitive communication deficit, was allegedly subjected to verbal abuse by a CNA who reportedly told the resident to "shut the f--- up" while assisting with toileting. The incident occurred on 12/6/25, but was not reported to the appropriate authorities or the Administrator until 12/10/25. CNA 3, who witnessed the event, initially reported it only to the Weekend Manager and did not escalate the allegation to the Unit Manager or Administrator as required by facility policy. Interviews revealed that the Weekend Manager was not made aware of the abuse allegation at the time it occurred, and the Administrator was not informed until four days later. The facility's abuse policy requires immediate reporting of abuse allegations, but this protocol was not followed. The delay in reporting was confirmed through staff interviews and record review, indicating a breakdown in communication and adherence to established procedures for reporting suspected abuse.