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F0609
D

Failure to Timely Report Alleged Abuse to State Agency and Law Enforcement

Broken Arrow, Oklahoma Survey Completed on 02-12-2026

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to timely report an allegation of abuse to the Oklahoma State Department of Health (OSDH) and local law enforcement within two hours of becoming aware of the allegation, as required by its Abuse, Neglect, Exploitation or Misappropriation – Reporting and Investigation – F609 policy. The policy, dated 2001, stated that all reports of resident abuse, including injuries of unknown origin, neglect, exploitation, or theft/misappropriation of resident property, would be reported to local, state, and federal agencies as required by regulations, and that such reports would be made within two hours. An initial incident report showed that on 01/27/26 facility staff were informed by a family member of an alleged act of abuse against Resident #10, one of three sampled residents reviewed for abuse, in a facility with 74 residents. However, the incident report documented that the administrator did not report the allegation to OSDH and local law enforcement until 02/03/26. In interview, the administrator stated they first became aware of the allegation on 02/03/26 during a morning staff meeting when the DON reported learning of the incident on 01/27/26, and acknowledged the reports should have been made on 01/27/26 when staff were first informed by the family. The DON confirmed in interview that they informed the administrator of the alleged abuse at the staff meeting on 02/03/26 and acknowledged they should have reported it earlier.

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