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Based on Interview and record review, the facility failed to self report patients #1's allegation of sexual contact with another patient during the patients admission. The patient made the allegation through the school nurse after patient #1 was discharged, even though the school directly communicated this information to the facility.


Specifically, on 6/2/2021 upon interview of the facility Director of Nursing at 11:30am, revealed that the Director of Nursing had not reported the allegation, nor had anyone else within her deparment reported the allgation which was reported to them.


This deficient practice affected patient #1 rights when the facility failed to self report to the appropriate state health care regulatory agency in accordance with HSC, §161.132(a). Regulation 133.47(c)(3)(A) of the alleged incident.


Findings included:


Complaint #TX00383292

Internal investigation 5/24/2021 completed by the facilty which revealed that the facility was contacted by patient#1' school nurse on 5/21/2021 which revealed the nature of allegation being alleged. No mitigating documantation was able to be produced by the facility that a self report was completed according to regulations.


Specifically, on 6/2/2021 upon interview of the facility Director of Nursing at 11:30am, revealed that the Director of Nursing had not reported the allegation, nor had anyone else within her deparment reported the allgation which was reported to them.