Defining Moments
The willful infliction of injury, unreasonable confinement, intimidation, or punishment with resulting physical harm, pain or mental anguish.
What is Abuse
Abuse and Neglect
What is F600?
A resident to resident altercation should be reviewed as a potential situation of abuse.
What is correct?
This is F606
What is Prohibitions on Employment?
Based on interview and record review the facility failed to thoroughly investigate an allegation of sexual abuse for one (R135) of eleven residents reviewed for abuse in the sample of 90.
What is F610?
The failure of the facility, its employees or service providers to provide goods and services to a resident that are necessary to avoid physical harm, pain, mental anguish or emotional distress.
What is Neglect
What is F604?
It should be assumed that every accident or disagreement that occurs between an employee and a resident be considered to be abuse.
What is not correct?
This is F607
What is Abuse Policies and Procedures?
Based on interview and record review the facility failed to ensure residents were free from physical abuse from staff for one resident (R123) and from physical abuse from other residents for one resident (R45) of 13 residents reviewed for abuse in the sample of 90.
What is F600?
The taking advantage of a resident for personal gain, through the use of manipulation, intimidation, threats, or coercion.
What is exploitation?
Involuntary Seclusion
What is F603
All alleged violations involving abuse, neglect, exploitation or mistreatment, including injuries of unknown source and misappropriation of resident property, are reported within 2 hours after the allegation is made.
What is False?
This is F610
What is response to alleged violation? Investigate/Prevent/Correct
Based on observation, record review, and interview, the facility failed to ensure residents were free from any physical restraint not required to treat the resident's medical symptom; and failed to ensure the least restrictive restraint was used for four (R51, R102, R55 and R18) of five residents reviewed for physical restraints in the sample of 90 residents.
What is F604-E?
The deliberate misplacement, exploitation, or wrongful, temporary,or permanent use of a resident’s belongings or money without the resident’s consent.
What is misappropriation of property?
Reporting of Suspected Crimes
What is F608?
The facility must not employ or otherwise engage individuals who—Have been found guilty of abuse, neglect, exploitation,misappropriation of property, or mistreatment by a court of law
What is true/correct?
This is F602
What is misappropriation of resident property and exploitation?
Based on interview and record review, the facility failed to immediately report to the State survey agency: (1) an allegation of possible misappropriation of resident property for one resident (R188); (2) an allegation of a staff to resident abuse for one resident (R123); and (3) an allegation of a resident to resident abuse for two residents (R10 and R21) of 13 residents reviewed for abuse in the sample of 90.
What is F609?
The separation of a resident from other residents or from her/his room or confinement to her/his room (with or without roommates) against the resident’s will, or the will of the resident representative.
What is Involuntary Seclusion?
Chemical Restraints
What is F605?
The facility must report to the police and the facility ombudsman any knowledge it has of actions by a court of law against an employee, which would indicate unfitness for service as a nurse aide or other facility staff.
What is wrong/false?
This is F609
What is reporting of alleged violations?
Based on interview and record review, the facility failed to develop an abuse policy that ensured all alleged violations involving abuse, neglect, exploitation or mistreatment, including injuries of unknown source and misappropriation of resident property are reported to the state agency within the required reporting time frames. This deficient practice had the potential to affect all the residents residing in the facility.
What is F607