River City Post Acute

During an interview on 2/24/26 at 1:56 p.m. with CNA 4, CNA 4 stated Resident 1's roommate reported to him on 1/31/26 that Resident 1's caregiver was becoming verbally aggressive to Resident 1. CNA 4 stated he notified LN 1 of the situation.

When asked what the policy is for abuse reporting, CNA 4 stated he would notify the nurse, and the nurse should report it the same day as the suspected abuse. CNA 4 stated he was not sure of the regulatory timeframes for abuse reporting.

During a subsequent interview on 2/24/26 at 2:22 p.m. with LN 1, when LN 1 was asked why she did not complete and file the report on1/31/26 and send to The Department, LN 1 stated Resident 1 did not indicate he was being abused and the roommate who reported incident was not reliable. LN 1 stated she did document the incident in the chart in case it needed to be reported later.

During an interview on 2/24/26 at 2:25 p.m. with LN 2, LN 2 stated if a resident was reported as being abused by a visitor, he would notify the ADM and report to The Department as soon as possible. LN 2 stated he was not aware of the abuse reporting timeframes.

During a telephone interview on 2/25/26 at 9:13 a.m. with LN 3, LN 3 stated she filed the report on 2/2/26 for incident with Resident 1 based on Resident 1's progress note on 1/31/26. LN 3 stated she completed the report on 2/2/26 because LN 1 was off that day but did not have any first-hand knowledge of the incident. A review of the facility's Policy and Procedure (P&P), titled Abuse Investigation and Reporting, revised 7/17, indicated .All reports of resident abuse .mistreatment shall be promptly reported to local, state and federal agencies .and thoroughly investigated by facility management .All alleged violations involving abuse . or mistreatment .will be reported .to the following persons or agencies .The State incensing/certification agency responsible for surveying licensing the facility .The Local/State Ombudsman .

Law enforcement officials .An alleged violation of abuse .mistreatment .will be reported immediately, but not later than: .Two (2) hours if the alleged violation involves abuse OR has resulted in serious bodily injury, or .Twenty-four (24) hours if the alleged violation does not involve abuse AND has not resolved in serious bodily injury . A review of the facilities P&P titled Abuse Prohibition Policy and Procedure, dated 2/23/21, indicated .HealthCare Centers prohibit abuse, mistreatment .and exploitation for all residents .The Center will implement an abuse prohibition program through the following: .Prevention of occurrences .Identification of possible incidents or allegations which need investigation .Investigation of incidents and allegations .Abuse is defined as the willful infliction of injury .intimidation . with resulting .mental anguish .Instances of abuse of all patients, irrespective of any mental or physical condition, cause .mental anguish. It includes verbal abuse .mental abuse .Mental abuse may occur through either verbal or nonverbal conduct which causes or has the potential to cause the patient to experience humiliation, intimidation, fear, shame, agitation, or degradation .Upon receiving information concerning a report of suspected or alleged abuse, mistreatment .the CED [Center Executive Director] or designee will perform the following .Report allegations involving abuse (physical, verbal, sexual, mental) not later than two (2) hours after allegation is made .Notify local law enforcement, Ombudsman, Licensing District Office .