Sarah Neuman Center for Rehabilitation and Nursing
March 14, 2025 Complaint Survey

Standard Health Citations

FF15 483.12(a)(1):FREE FROM ABUSE AND NEGLECT

REGULATION: § 483. 12 Freedom from Abuse, Neglect, and Exploitation The resident has the right to be free from abuse, neglect, misappropriation of resident property, and exploitation as defined in this subpart. This includes but is not limited to freedom from corporal punishment, involuntary seclusion and any physical or chemical restraint not required to treat the resident's medical symptoms. § 483. 12(a) The facility must- § 483. 12(a)(1) Not use verbal, mental, sexual, or physical abuse, corporal punishment, or involuntary seclusion;

Scope: Isolated
Severity: Potential to cause more than minimal harm
Citation date: March 14, 2025
Corrected date: April 29, 2025

Citation Details

None

Plan of Correction: ApprovedMarch 28, 2025

1. What corrective actions(s) will be accomplished for those residents found to have been affected by the deficient practice Resident #1 was assessed immediately to ensure that there were no injuries and emotional support was provided by RN Supervisor. A complete skin check was completed on resident #1 with no abnormal findings. Resident #1 was evaluated by the Social Worker and was unable to recall the incident due to severe cognitive impairment. Resident #1 also did not display any sign or symptoms of emotional distress. A psychology consult was also ordered for Resident #1 who was unable to recall the event and unable to engage in therapeutic interaction. Social worker, has and, will continue to follow up with resident to provide emotional support. Resident #1 was monitored for behavioral changes. No behavioral changes were noted. 2. How will you identify other residents having the potential to be affected by the same deficient practice and what corrective action will be taken? All residents have the potential to be affected by this deficient practice. The Director of Social Services and or designee will review and update care plans addressing the risk for Abuse for all residents with behavioral and/or cognitive impairment. 3. What measures will be put in place or what systemic changes you will make to ensure that the deficient practice does not recur? To ensure the deficient practice will not recur the Director of Nursing and/or designee will review the policy on Abuse/Neglect/Mistreatment- Prevention, Assessment & Reporting of these or other crimes against a resident/client in our care. Staff training and education will be provided to all staff on Abuse, Mistreatment Prevention. This education will focus on the facility responsibility to protect the resident rights and ensure residents remain from abuse. 4. How the corrective action(s) will be monitored to ensure the deficient practice will not recur,i.e., what quality assurance program will be put in practice The Director of Nursing and/or will perform random audits a total of five staff interviews weekly x 1 month and then bi-weekly x two weeks ,and then monthly to ensure ongoing compliance. The Director of Social Work will perform random audits a total of five residents interviews weekly x 1 month ,and then bi-weekly x two weeks ,and then monthly to ensure ongoing compliance. All findings will be reported to the QAPI Committee by the Director of Nursing on a monthly basis.