Late Submission of Facility Reported Incident Findings
Penalty
Summary
The facility failed to submit the findings of a Facility Reported Incident involving a resident who suffered an unwitnessed fall with injury to the State Survey Agency within the required five-day deadline. The findings were submitted two days late. Staff interviews revealed that the staff member responsible for submitting the findings was filling in for another staff member who was out of state at the time of the incident. The substitute staff member acknowledged missing the deadline and submitted the findings as soon as she realized the requirement. Additionally, it was confirmed that no education had been provided to the substitute staff member regarding the reporting requirements related to this event. Facility policy requires the administrator to report the results of the investigation to government agencies within five working days of the incident.