Failure to Timely Report Allegation of Abuse to State Agency
Penalty
Summary
The facility failed to ensure an allegation of abuse was reported to the state agency within the required 2-hour timeframe for one resident. The facility’s Abuse and Neglect policy dated 09/12/25 stated that the facility shall immediately report allegations, suspicions, or incidents of abuse, neglect, exploitation, misappropriation of resident property, or injuries of unknown source involving residents. Resident #1 was admitted on 12/05/25 with a diagnosis of congestive heart failure, and the admission assessment documented that the resident’s cognition was intact with a BIMs score of 15. A skilled assessment on the same date showed the resident had bruises on the right lateral thigh, left inner thigh, and near the rib cage. According to interview and record review, an APS investigator reported going to the facility on 12/05 and informing staff they were there to investigate an allegation of abuse for Resident #1. The DON stated that on 03/05/26 a meeting was held with the Administrator, DON, ADON, and Skilled Nurse Manager regarding the allegation of abuse and the bruising. They discussed and investigated the bruising and concluded it was caused by the lift sling and determined it was not abuse, deciding that an investigation into the allegation of abuse would not be reported. The Administrator later reported that APS had come to the facility and informed them they were there to investigate an allegation of abuse for Resident #1, and that the facility believed they did not have to report the allegation because APS is part of a state agency. The Administrator acknowledged that the abuse allegation should have been reported to OSDH and investigated.
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.