Longview Hill Nursing And Rehabilitation Center

F 0610 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

conducted the investigation into this incident. During an interview on 09/09/25 at 9:58AM, the Administrator said that on the evening of 08/25/25, he received a phone call reporting that a CNA had overheard Resident #1's sitter saying the resident had been abused in the facility. He said the resident had already left

the building when he received the call. He said he did not investigate the allegation further because the resident had already left the building. He said he was unsure whether he had contact information for the sitter. He said he had been in Resident #1's room prior to discharge and no one had brought any concerns of abuse to his attention. He said Resident #1's family member was happy with Resident #1's care when he spoke with her prior to the abuse allegation. He said he did not speak with the family member about this allegation of abuse. He said he interviewed the CNA that overheard the conversation. He said he conducted safe surveys with the residents. During an interview on 09/09/25 at 10:26AM, ADON A said she was not present at the facility at the time of the abuse allegation involving Resident #1 on 08/25/25. She said she felt the Administrator should have talked to the family or the sitter regarding the abuse allegation to obtain more information. She said the risk was that abuse could be going on in the facility. During an interview on 09/09/25 at 10:31AM, the DON said she conducted a discharge assessment of Resident #1 and that neither the family nor the sitter reported any allegations of abuse. She said she did not feel like the caregiver should have been called because the family member and caregiver were together at the time of discharge. She said she had a conversation with the sitter on the day of discharge and she did not make an allegation of abuse to her. She said she tried to call the family member one time after the allegation of abuse and she did not answer. She said she felt like she should have attempted to call the family more than once. She said the risk was it was possible there could be abuse going on in the facility. During an interview

on 09/09/25 at 10:46AM, the Administrator said the DON attempted to call Resident #1's family member, but no one tried to call the caregiver. He said no one had made any indication to the Administrator or the DON that there were any abuse concerns. He said he did not think someone should have called the family member after the abuse allegation came out because they had spent time with the family and no allegation of abuse had been reported to them. He said he felt that they followed the policy because the DON attempted to contact the family member who was responsible for her care. He said he felt this issue was resolved because the family left with the resident under a safe discharge plan. He said the family and the caregiver did not indicate to them that there were any concerns or abuse allegations. Record review of the facility's policy, Abuse, Neglect and Exploitation, reflected: .It is the policy of this facility to provide protections for the health, welfare and implementing written policies and procedures that prohibit and prevent misappropriation of resident property.V. Investigation of Alleged Abuse, Neglect and ExploitationA.

An immediate investigation is warranted when suspicion of abuse, neglect or exploitation, or reports of abuse, neglect or exploitation occur.B. Written procedures for investigations include:.4. Identifying and interviewing all involved persons, including the alleged victim, alleged perpetrator, witnesses, and others who might have knowledge of the allegations;5. Focusing the investigation on determining if abuse, neglect, exploitation, and/or mistreatment has occurred, the extent, and cause; and6. Providing complete and thorough documentation of the investigation.

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