Penalty

Fine: $28,670

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 report an injury of unknown origin within the required 2-hour timeframe to the regulatory agency, the Office of Health Care Quality (OHCQ). A staff nurse became aware of a resident with severe cognitive impairment who was found with a swollen, bruised left eye. The resident was unable to communicate the cause of the injury. The initial self-report to OHCQ was sent the following morning, more than 2 hours after the injury was discovered. Facility leadership confirmed that at the time, it was unclear whether the injury was due to a fall, being hit, or another cause.