Failure to Report Alleged Neglect and Medication Errors
Penalty
Summary
The facility failed to report allegations of neglect involving a resident who was affected by improper medication administration and incomplete care by a staff member who was later found to be working under false credentials. Specifically, the staff member left medications at the resident's bedside, administered medications that were not recognized by the resident, and attempted to perform procedures such as IV administration incorrectly. Documentation and required assessments for the resident were also incomplete, and concerns about the staff member's competence and actions were raised by both nursing and CNA staff to supervisors. Despite these incidents and staff concerns, the facility did not report the allegations of neglect to the State Agency as required. The Director of Nursing confirmed during an interview that the allegations related to the staff member's neglectful actions were not reported. The resident involved was receiving intravenous antibiotics and had incomplete admission and discharge documentation during their stay.