F0609

D

Failure to Report Allegation of Sexual Abuse to State Survey Agency

Harrison, Ohio Survey Completed on 01-14-2026

Penalty

Fine: $28,190

Summary

The facility failed to report an allegation of sexual abuse to the state survey agency as required by its abuse policy. A cognitively intact resident with diagnoses including psychosis, hallucinations, Parkinson's disease, and neurocognitive disorder with Lewy bodies was admitted on 10/28/25. During a level two PASRR assessment, the resident stated that someone had grabbed his penis. The social worker confirmed that the administrator was notified of this allegation. The administrator later documented in a written witness statement that the resident reported someone had grabbed his penis.

After speaking with the resident’s son, the administrator determined that the allegation was likely a hallucination and decided not to investigate further. No Self-Reported Incident (SRI) was initiated, and there was no report of the allegation to the state survey agency between 10/01/25 and 01/05/25. The DON verified that the administrator had been notified of the allegation. Review of the facility’s Abuse/Neglect/Misappropriation of Property policy dated September 2022 showed that any allegation of abuse or serious bodily injury must be reported to the state survey agency immediately, but no later than two hours after the allegation is made. The administrator verified that the facility did not follow its abuse policy once the allegation of sexual abuse was discovered.