Penalty

No penalty information released

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 complete and submit a Five Day Follow-Up Report to the State Survey Agency regarding an allegation of neglect involving a resident. According to the facility's policy, all reportable incidents and conditions must be investigated, documented, and reported to the appropriate State Agencies within five working days. In this case, a resident with dementia and dysphagia was observed by a nurse to be unable to speak, with a flushed face and watery eyes, and crumbs from a sandwich were found around the resident's chair. This incident was documented as a Facility Reported Incident. Although the investigation into the incident was completed within the required five-day period, there was no documentation showing that the Five Day Follow-Up Report was submitted to the State Survey Agency as required by policy. The DON confirmed during an interview that while the investigation was completed on time, the necessary follow-up report was not sent to the State Agency.