Failure to Submit Abuse Investigation Results Within Required Timeframe
Penalty
Summary
The facility failed to submit the results of an abuse/neglect investigation to the State Survey Agency within the required five working days. An online self-report of alleged staff-to-resident neglect/abuse for an incident that occurred on 11/3/25 was submitted to the State Survey Agency on 11/5/25. However, the State Survey Agency did not receive the facility’s investigation report within five working days of the alleged incident as required. During an interview on 2/17/26, the Administrator stated that the facility’s investigation summary was sent on 11/10/26 and provided an email receipt. Review of the email receipt showed that the summary was sent to an incorrect email address, and the Administrator confirmed that the address used was not the correct one for submitting a facility’s investigation summary. The facility’s own Abuse Prevention and Prohibition Program policy, revised 12/2025, requires the Administrator to provide the State Survey Agency, law enforcement, and the Ombudsman with a copy of the investigative report within five days of the incident.
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