Failure to Complete 5-Day Abuse Investigation Report for Verbal Abuse Allegation
Penalty
Summary
The facility failed to complete and submit a final abuse investigation report within five working days for an allegation of verbal abuse involving one of three sampled residents (Resident 1). On 2/21/26 at 5:30 p.m., a CNA overheard an argument coming from the resident’s room during the meal pass and reported verbal abuse by the resident’s daughter, which was documented on an SBAR communication form and progress note at 6:54 p.m. the same day. The facility’s policy, “Abuse Prevention Program” dated 7/29/2020, requires that the final investigation report be faxed and confirmed to the appropriate agency within five working days from the time the incident occurred. During interviews on 3/5/26, the Administrator stated that the DON was responsible for completing the five-day report, and the DON acknowledged that the five-day report for this allegation was not completed, nine working days after the incident, contrary to facility policy. No additional medical history or clinical condition details for the resident at the time of the incident are provided in the report.
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