St William's Care Center

Review of the provider's 7/19/24 updated Abuse, Neglect and Misappropriation of Resident Property policy revealed:

*Policy: Residents at [facility] will be treated with dignity and respect. No resident of this facility will be mistreated, abused or neglected.

*This abuse plan has been implemented to protect our residents.

The responsibility for carrying out this plan will ultimately lie with the Administrator and the staff employed by [facility] but involves every person in contact with residents.

*Process:

-Identification: Staff will identify events, such as suspicious bruising of residents, occurrences, patterns, and trends that may constitute abuse; staff will determine the direction of an investigation.

-Investigation: Alleged violations will be investigated and will be reported to proper authorities by the administrator, director of nursing or their representative

-Protection: Residents will be protected from harm during an investigation.

Staff may need to be reassigned to other areas or suspended until the investigation is completed.

-Reporting/Response: The facility must report all alleged violations involving mistreatment, neglect, or abuse, including injuries on unknown source and misappropriation of resident property immediately to the administrator or their representative.

-The SD Department of Health must be notified immediately but not later than 2 hours if serious bodily injury occurred, within 24 hours of incident if no serious bodily injury.

-Notify law enforcement only for an incident or event where there is reasonable cause to suspect abuse or neglect of any resident by any person.

435122

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 435122 B.

Wing 07/24/2024

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

St William's Care Center 103 N Viola St Milbank, SD 57252