Observations
Based on the results of a complaint investigation, the facility failed to submit an incident report to the Department as directed by the Licensing Alert titled "Reporting of Unusual Incidents" dated May 1997.The findings include:A complaint was received by the Department on April 9, 2012. An onsite investigation was conducted on April 23, 2012. The allegations were that an employee was assaulted by an unknown assailant on April 1, 2012 and the police responded to the facility. Per the Licensing Alert "Reporting of Unusual Incidents" dated May 1997, a facility shall submit an unusual incident report for an incident requiring the services of a fire department or law enforcement agency. The facility shall notify the Department within 24 hours of this incident and shall file a written incident report within 72 hours. The facility failed to comply with the Department directive to file an incident report.The facility director was interviewed on April 23, 2012 at approximately 10:45 AM and confirmed the findings.
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Plan of Correction
The Facility Director and the Clinical Supervisor have reviewed the Licensing Alert titled "Reporting of Unusual Incidents" and in the future will forward all applicable facility incident reports within the designated period of time. |