Abuse, Neglect, and Exploitation Prevention Flashcards

A resident's family member informs a surveyor that the facility discovered an abuse allegation but failed to report it to the State agency. Under federal regulations, this failure to report is:

Answer: A regulatory violation that can result in citation and potential civil monetary penalties regardless of investigation outcome

Failure to report allegations of abuse within the required timeframe is itself a regulatory violation, as the reporting requirement is triggered by the allegation, not the outcome of the investigation.

Which of the following situations would be classified as 'misappropriation of resident property'?

Answer: A nurse aide borrows $20 from a resident's personal funds account and fails to repay it

Misappropriation involves deliberate misplacement, exploitation, or wrongful use — even temporary — of a resident's belongings or funds for another's benefit without authorization.

During a survey, a surveyor finds documentation indicating a resident was threatened with discharge for reporting complaints about the quality of care. This constitutes:

Answer: Retaliation against a resident for exercising their rights, which constitutes a form of prohibited abuse or intimidation

Threatening discharge in retaliation for reporting complaints violates resident rights and constitutes prohibited intimidation under federal regulations protecting residents' right to voice grievances.

What is the primary function of the State Nurse Aide Registry in the context of abuse prevention?

Answer: It tracks substantiated findings of abuse, neglect, or misappropriation against nurse aides to prevent future employment in care settings

The Nurse Aide Registry documents substantiated findings of abuse, neglect, or misappropriation so that facilities can screen out individuals with prior misconduct before hiring.

Which of the following is a required component of a nursing facility's comprehensive abuse prevention program under federal regulations?

Answer: Screening of staff, training on prevention and identification, investigation of allegations, and required reporting

Federal regulations require a comprehensive program covering staff screening, abuse prevention training, identification of indicators, investigation of allegations, and timely reporting to appropriate authorities.

A surveyor discovers that a facility failed to investigate an allegation of sexual abuse involving two residents. The most appropriate regulatory finding is:

Answer: Citation under F600 for failure to protect residents from abuse and for failure to conduct a required investigation

Facilities must investigate all allegations of abuse including resident-to-resident incidents, and failure to investigate is independently citable under F600 regardless of the likely outcome.

What information must a nursing facility include in its initial 24-hour report of an alleged abuse incident to the State agency?

Answer: The nature of the allegation, information about the alleged perpetrator, and any immediate corrective actions taken to protect residents

The initial 24-hour report must capture the critical protective information — the allegation, alleged perpetrator, and immediate protective actions — while the full investigation report follows within the required timeframe.