Failure of Facility Administration to Implement Abuse Policies and Professional Care Standards
Penalty
Summary
The deficiency involves the Nursing Home Administrator (NHA) failing to effectively manage the facility to ensure residents were free from abuse and to ensure the facility implemented its abuse policies, resulting in an immediate jeopardy situation. A review of the NHA’s job description showed that the primary purpose of the position was to direct the day-to-day functions of the facility in accordance with current federal, state, and local standards, guidelines, and regulations governing LTC facilities so that the highest degree of quality care could be provided to residents at all times. However, based on review of the job description, facility and clinical records, and staff interviews, surveyors determined that the NHA did not fulfill these responsibilities, as the facility failed to provide fundamental principles that apply to treatment and care, and failed to ensure that residents received treatment and care in accordance with professional standards of practice and facility policies. These failures were cited under 28 Pa Code 201.14(a) Responsibility of licensee and 28 Pa Code 201.18(b)(1)(e)(1) Management. The report does not provide specific resident identifiers, clinical histories, or detailed descriptions of individual abuse incidents, but it establishes that the facility’s administration and management, under the NHA’s direction, did not ensure implementation of abuse policies or adherence to professional standards and facility policies in the treatment and care of residents.
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