Failure to Timely Report Alleged Abuse, Injuries of Unknown Source, and Misappropriation
Penalty
Summary
The facility failed to ensure that all alleged violations involving abuse, neglect, exploitation, mistreatment, injuries of unknown source, and misappropriation of resident property were reported immediately, but not later than 2 hours after the allegation was made. Specifically, for two residents with injuries of unknown origin, staff became aware of the incidents at 6:15 AM and 8:30 AM, but the initial self-reports to the State Agency were not sent until 11:51 AM and 11:31 AM, respectively, exceeding the required 2-hour reporting window. In both cases, the documentation confirmed the delay in reporting after staff became aware of the injuries. Additionally, an incident involving the alleged misappropriation of a resident's narcotic medication was not reported within the required timeframe. Staff identified a discrepancy in the medication records at 4:00 PM, but the initial self-report to the State Agency was not sent until nearly 24 hours later. These failures to report timely were acknowledged by the Nursing Home Administrator and relevant staff during interviews, with no further comments provided.