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Investigation of Alleged Violations and Reporting Verified Violations to the State Survey Agency

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.

Preview: full text with a package
About this policy
Policy number
MI-HSP-ANE-02
Version
1.0
Main rule
42 CFR §418.52(b)(4)
Library
Michigan hospice · 59 policies
Category
Safeguarding
Sections
18

In short

  • 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.

What's inside

18 sections. The full text comes with the One-time Policy Pack.

Full text with a package
  • 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

An inspector may ask

  • 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?

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