F0609

E

Failure to Timely Report Allegations of Abuse to State Authorities

Ardmore, Oklahoma Survey Completed on 02-03-2026

Penalty

No penalty information released

Summary

The facility failed to follow its Abuse, Neglect, Exploitation or Misappropriation-Reporting and Investigating policy, dated September 2022, which defined “immediately” as within two hours for reporting allegations of abuse, by not reporting two separate abuse allegations to the Oklahoma State Department of Health (OSDH) within the required timeframe. For Resident #3, who had a diagnosis of severe dementia and ambulated independently, an initial incident report dated 06/11/25 documented that CNA #1 reported to the DON that CNA #2 had screamed at the resident in the dining room the previous evening; however, the facsimile receipt showed OSDH did not receive the incident report until 06/12/25 at 4:41 p.m., exceeding the two-hour requirement. For Resident #1, a late entry nursing progress note dated 01/26/26 at 8:09 p.m. documented that on 01/25/26 at 8:00 p.m. the resident came to nursing staff, gestured to their breast, and pointed to Resident #2, indicating their breast had been grabbed, and further gestured that they slapped Resident #2’s hand; the note did not show the allegation was reported to the abuse coordinator. An initial incident report dated 01/25/26 showed the charge nurse reported to the DON and administrator that Resident #1 communicated their breast was touched by Resident #2, but the facsimile to OSDH was not received until 01/26/26 at 2:55 p.m., also outside the two-hour window. During an interview on 02/03/26 at 11:30 a.m., the administrator agreed that these abuse allegations were not reported to OSDH in a timely manner.