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Tag No.: C1612
Based on interview and record review the CAH failed to develop comprehensive policies and procedures for Swing Bed patients that prohibit and prevent, abuse, neglect, exploitation, and misappropriation of property. Findings include:
Per review of the policy, "Abuse and Neglect of Adult Patients"-reviewed on 6/15/2022. There was no evidence that the policy and/or procedure contained the time frame in which allegations involving abuse, neglect, exploitation, or mistreatment, to include injuries of an unknown origin and misappropriation of residents' property were reported, and to the required officials. There was also no indication of the process in which these allegations were to be fully investigated and if substantiated the appropriate corrective actions that would be taken.
Per interview on 6/20/23 at 3:19 PM with the Assistant Director of Quality and Risk, S/He confirmed that the above policy does not contain the regulatory requirements.