Failure to Timely Report Alleged Abuse to State Agency and Ombudsman
Penalty
Summary
The facility failed to ensure that an allegation of staff-to-resident abuse involving Resident 1 was reported to the appropriate authorities within the required two-hour timeframe. Resident 1, who had diagnoses including muscle weakness and osteoporosis, was the subject of a suspected dependent adult/elder abuse report (SOC 341) dated 2/20/26. Record review showed that this SOC 341 was not faxed to the Department until 2/25/26 at 4:42 PM. During interview, the DON confirmed the facility did not have fax confirmation showing that the SOC 341 had been sent to the Department and the Ombudsman within two hours of the allegation. In an interview, the Ombudsman stated they did not receive the SOC 341 dated 2/20/26 until 2/26/26. In a follow-up interview, the DON acknowledged that, per facility policy, the SOC 341 form was supposed to be completed and faxed to the Department and the Ombudsman within two hours of an abuse allegation, and that waiting six days was too long. Review of the facility’s policies titled “Abuse, Neglect, Exploitation or Misappropriation - Reporting and Investigating” and “Abuse Investigation and Reporting” confirmed that all alleged violations involving abuse must be reported immediately, and not later than two hours, to the State licensing/certification agency and the local/State Ombudsman.
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.