F0610

D

Failure to Thoroughly Investigate Allegation of Neglect

Towson, Maryland Survey Completed on 01-21-2026

Penalty

No penalty information released

Summary

The facility failed to provide documentation that an allegation of neglect was thoroughly investigated for one resident involved in a facility-reported incident. On 1/20/26, the Regional Director received a call regarding potential neglect of Resident #3 after the resident had been transferred to the hospital. Review of the facility’s investigation showed a summary indicating that the DON had interviewed nursing staff who provided care to the resident during the 72 hours prior to the hospital transfer. However, the only documented interview and written statement in the investigation packet was from the GNA who cared for the resident on the morning of the transfer.

There were no additional written statements or interview documentation from other staff who had provided care to the resident during the preceding 72 hours. During an interview on 1/21/26 at 1:30 PM, the NHA reviewed the investigation and confirmed the absence of interviews with other staff who had cared for the resident leading up to the hospital transfer. The NHA also stated that she had searched the previous DON’s files and was unable to locate any such interviews, and confirmed that staff from previous shifts should have been interviewed.