HospitalInspections.org

Based on record review and staff interview the hospital failed to report to the appropriate State Agency allegations of abuse of one patient [Patient #2] of 7 patients in the sample group. Findings include:
1. Per record review of Nursing Notes from 5/28/13, a Mental Health Worker on the facility ' s Tyler 2 unit " reported that another peer, Patient #2, stated Patient #1 put his/her tongue in my mouth " .
Per record review Physician Progress Notes dated 5/29/13 document " Patient states h/she would like to leave today because h/she had a really rough day yesterday. States that a male peer Patient #1 ' stuck his tongue in my mouth while I was lying on the couch ' ...Tearful. States h/she feels unsafe, sharing space with Patient #1. "
Nursing Notes dated 5/31/13 record Patient #1 " pounding on [Adult Low Stimulation Area] door ...RN informed Patient #1 h/she' s here because h/she was French kissing a female " .
Per interview on 6/26/13 at 12:16 P.M. Patient #2 ' s Physician confirmed that the patient had spoken with h/her on 5/29/13 about the alleged assault, and that h/she shared this with Patinet #2 ' s treatment team the following morning [5/30/13]. The Physician confirmed that h/she is a mandated reporter and stated h/she assumed someone else on the treatment team would report the alleged assault.
Per interview with the Social Worker on Patient #2 ' s unit on 6/25/13 at 8:45 A.M., h/she was not aware of the incident, but the alleged assualt " should be reported " .
Per interview on 6/26/13 at 11:10 A.M. the Manager of Performance Improvement and Risk Management and the Nurse Manager on Patient #2 ' s unit both confirmed that staff members are mandated reporters, and someone on the staff should have reported the alleged assault to the appropriate State Agency but did not.