{"ref":"MI-HSP-ANE-02","title":"Investigation of Alleged Violations and Reporting Verified Violations to the State Survey Agency","category":"Safeguarding","summary":"Sets out how the Agency handles any allegation of mistreatment, neglect, verbal, mental, sexual or physical abuse, injury of unknown source, or misappropriation of patient property involving anyone furnishing services on its behalf: immediate report to the Administrator, immediate protection of the patient and investigation, corrective action, and reporting of verified violations to the State survey agency and other bodies with jurisdiction within 5 working days.","inShort":["If anyone working for the Agency may have hurt, neglected or stolen from a patient, or a patient has an injury nobody can explain, call the Administrator immediately.","This is in addition to your own report to Centralized Intake when you suspect abuse.","The patient is protected the same day, and the staff member involved stops patient visits until the investigation ends.","Cooperate with the investigation, tell the truth and keep it confidential."],"primaryCitation":"42 CFR §418.52(b)(4)","citations":["Mich. Admin. Code R 325.45167","Mich. Admin. Code R 325.45201(1)(c)","Mich. Admin. Code R 325.45241","MCL 333.20175(10)","MCL 400.11a","Michigan Medicaid Provider Manual, General Information for Providers, Section 15.4"],"federalCitations":["42 CFR §418.52(b)(4)","42 CFR §418.112(c)(8)"],"surveyorAsks":["Show me your last investigation: when the allegation reached the Administrator, what you did that day to protect the patient, and when the investigation ended.","What happened to the staff member while the investigation was open?"],"forms":[{"ref":"MI-HSP-ANE-02-A","title":"Investigation Record and Report of Verified Violation"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (42 CFR §418.52(b)(4))","5. Immediate Report to the Administrator","6. Protecting the Patient the Same Day","7. Investigation","8. Corrective Action","9. Reporting Verified Violations Within 5 Working Days","10. Alleged Violations in Nursing Facilities and ICF/IID by Others","11. Responsibilities","12. Records and Compliance Monitoring","13. Staff Training","14. References","15. Related Policies and Forms","16. Approval","17. Revision History"],"version":"1.0","sample":false,"pack":"mi-hospice","state":"Michigan","service":"Hospice","guides":[{"path":"/guides/abuse-neglect-exploitation-reporting/","h1":"Abuse, neglect and exploitation policies: what each state requires"},{"path":"/guides/hospice-policies/","h1":"What policies are required for hospice?"},{"path":"/guides/hospice-conditions-of-participation/","h1":"Hospice Conditions of Participation: which policies each one needs"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}