Failure to Timely Report Abuse Allegations and Investigation Results
Penalty
Summary
The facility failed to report allegations and findings of abuse in a timely manner to the State Survey Agency for three sampled residents. In one instance, an alleged incident of physical abuse involving two staff members and a resident occurred, but the event was not reported within the required two-hour timeframe, and the final findings were not submitted within the required five working days. Staff attributed the delay to technical issues with the abuse reporting system. In another case, a verbal altercation between two residents was not reported until two days after the event, as it was only discovered during a chart review. The nurse involved did not report the incident immediately, resulting in late notification. The facility's policy requires immediate reporting of abuse allegations, but these procedures were not followed in the cited incidents.