Failure to Timely Report Alleged Abuse and Investigation Results
Penalty
Summary
Facility staff failed to immediately report an allegation of abuse to facility administration and the State Survey Agency and failed to submit the results of the investigation within the required timeframe. The incident involved a resident who believed they had a bowel movement and activated the call bell. Two GNAs responded; after determining the resident had not had a bowel movement, one GNA allegedly slapped the resident’s bare buttocks twice and made a remark implying the resident was “just playing.” This alleged abuse was witnessed by the second GNA, who did not notify facility administration at the time of the incident. The resident later reported the alleged abuse to another GNA, who then informed facility administration. The facility documented the incident as having occurred on a specific date and reported it to the State Survey Agency more than two hours after the alleged abuse was witnessed. Additionally, the facility’s final self-report of the investigation was submitted to the State Survey Agency more than five working days after the incident. The DON was informed of concerns regarding staff failure to report the witnessed abuse promptly and the late submission of the final self-report and acknowledged these concerns.
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