Failure to Timely Report Alleged Abuse
Penalty
Summary
The facility failed to ensure that an allegation of abuse was reported within the required two-hour timeframe for one of four sampled residents. Specifically, a resident with chronic lung disease and moderate cognitive impairment was involved in an incident where another cognitively intact resident was observed with their hands up the first resident's shirt. This incident occurred at 8:30 PM but was not reported to the administrator until 9:30 AM the following day and subsequently to the State agency at 11:08 AM, resulting in a delay of over 12 hours from the time of the incident. Staff interviews revealed that the charge nurse was unaware of the two-hour reporting requirement, while the administrator confirmed that such allegations should be reported within two hours.