Failure to Timely Report Allegations of Abuse to State Agency
Penalty
Summary
The facility failed to timely report allegations of abuse to the state agency for two residents. For one resident, a CNA documented in a written statement on 10/26/25 that on the previous night at approximately 11:15 PM, the resident reported that a CNA had torn her clothes and was rough with her. The CNA confirmed in an interview that this allegation was reported to a nurse on 10/25/25. However, the facility did not submit the allegation of staff-to-resident abuse to the state agency until 11:08 AM on 10/26/25, which was more than two hours after the resident’s initial report to facility staff. The ADON later stated that leadership only became aware of the incident by reading notes and that no one had made leadership aware at the time of the allegation. For another resident, the clinical record showed that the resident reported on 10/25/25 at 7:15 PM that a CNA was rough while providing care. The facility did not report this allegation of abuse to the state agency until 11:09 AM on 10/27/25, which exceeded the required two-hour reporting timeframe. In interviews, both the DON and the NHA confirmed that allegations of abuse must be reported within two hours and acknowledged that the alleged abuse was not reported within that timeframe. The facility’s abuse policy, last updated on 1/9/26, specified that allegations of abuse must be reported to the appropriate state regulatory authority within two hours, and the survey findings were reviewed with facility leadership during the exit conference.
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