Failure to Investigate and Report Allegation of Sexual Abuse
Penalty
Summary
The facility failed to thoroughly investigate and report an allegation of sexual abuse involving Resident #14. Resident #14 was admitted with diagnoses including psychosis, hallucinations, Parkinson's disease, and neurocognitive disorder with Lewy bodies, but was documented as cognitively intact on a recent MDS assessment. 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, and the DON also verified that the Administrator had been informed. The Administrator’s written witness statement documented that Resident #14 reported someone had grabbed his penis. The Administrator then spoke with the resident’s son, concluded the allegation was likely a hallucination, and decided not to investigate further. No SRI was initiated, and review of the facility’s SRI logs showed no reports of sexual abuse related to this resident during the review period. The Administrator acknowledged that the facility did not follow its Abuse/Neglect/Misappropriation of Property policy, which requires that any allegation of abuse or serious bodily injury be reported to the State Survey Agency immediately, but no later than two hours after the allegation is made.
We Help Long-Term Care Teams Stay Survey-Ready
We process and analyze inspection reports and plan of correction using AI to extract insights and trends so providers can improve care quality and stay ahead of compliance risks.