HospitalInspections.org

Based on a review of documentation and clinical record review, the facility failed to report all alleged violations involving mistreatment, neglect, or abuse, including injuries of unknown source, and misappropriation of resident property immediately to the administrator of the facility and to other officials in accordance with State law through established procedures.

Findings were:

? Facility policy & procedure titled Mandatory Abuse and/or neglect reporting requirement of an allegation of abuse and/or neglect of a patient by a medical staff member, independent contractor, volunteer, consultant, visitor, other patient, employee or other patient states, in part, " 1) All allegations or suspicion of the abuse/and or neglect of a patient by a medical staff member, independent contractor, consultant, family member or employee will be reported within one hour of discovery to Adult Protective Services, Texas Department of Protective and Regulatory Services and within twenty-four (24) hours to the Texas Department of State Health Services."

? Based on a review of a clinical record for Patient # 1 and related facility based investigation, an alleged incident of abuse involving this patient and a facility staff member was not reported to the Adult Protective Services, Texas Department of Protective and Regulatory Services per policy and regulation.

In an interview on 1/24/12, the facility Administrator and the interim Director of Nursing confirmed that the facility failed to report this allegation of abuse to all appropriate state agencies.