F0609

D

Failure to Timely Report Allegations of Resident-to-Resident Abuse

Reading, Pennsylvania Survey Completed on 01-19-2026

Penalty

No penalty information released

Summary

The facility failed to timely report allegations of abuse to the required state and local agencies for two residents. Facility policy titled "Abuse Policy - Prevention and Management," last reviewed in August 2025, required that incidents, investigations, and the facility's response to suspected abuse or neglect be reported immediately upon receiving information, and that incidents without serious bodily injury be reported no later than 24 hours after identifying a suspicion of abuse. For one resident with diagnoses including intellectual disability, liver transplant failure, heart failure, and type II diabetes, and with no memory impairment per the MDS, facility documentation showed that on December 29, 2025, the resident was heard yelling that another resident had struck him and was observed being shoved onto his bed before the residents were separated. There was no evidence that this alleged abuse was reported to the required state and local agencies until January 19, 2026, which was 21 days after the incident.

For another resident with diagnoses including dementia with agitation and type II diabetes, and significant memory impairment per the MDS, facility documentation dated January 14, 2026, showed that the resident was involved in an altercation in which his roommate shoved him onto his bed, resulting in injuries to his lip and eye. There was no evidence that this alleged abuse incident was reported to the required state and local agencies until January 19, 2026, five days after the incident. In an interview on January 19, 2026, the Administrator confirmed that the facility did not report these incidents of alleged abuse to the required state and local agencies in a timely manner, contrary to facility policy and state regulatory requirements.