Failure to Timely Report Witnessed Verbal Abuse Allegation to State Agency
Penalty
Summary
Staff failed to recognize and report an allegation of verbal abuse to the State Agency within the required timeframe. Record review showed that a Geriatric Nursing Assistant (GNA) verbally abused Resident #6 on 1/20/26 during the evening shift, between approximately 8:00 PM and 8:30 PM, and that this abuse was witnessed by facility staff who did not report the incident at the time it occurred. The facility’s investigation file for facility reported incident #2726923 documented that the DON became aware of the allegation of abuse on 1/21/26 at 9:32 AM, and an email confirmation showed the report was sent to the State Agency on 1/21/26 at 12:42 PM. During interview, Certified Medicine Aide (CMA) #5 confirmed she was present when the verbal abuse occurred on the evening of 1/20/26. The DON stated she believed the 2‑hour reporting timeframe began when she was notified of the allegation, rather than from the time the abuse occurred, resulting in the allegation not being reported within the required timeframe. This deficiency was identified for 1 of 4 facility‑reported incidents reviewed and is cross‑referenced to F600 and F610.
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.