Health inspection·February 11, 2026

F 0607 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some director of a reported sexual assault by the patient to his RP, who then reported the alleged incident to the facility and hospice nurse. Follow up visit made by on call hospice nurse. Upon arrival, I was briefed by [LVN D] who accompanied me to patient room. Pt denied any pain. Patient did not repeat the details he reported to his family. His speech consists of some unintelligible words. Few words could be understood clearly. Pt was positioned in a side-lying position, contracted into a fetal position. Gloved and witnessed by [LVN D], brief was unsnapped. Pt had to be positioned more to his left side with a greater effort to assess the anus for any trauma, tears, laceration. Other than a bit of BM, anus was intact. No appearance of visible trauma. Patient's brief was secured back in place. Pt was covered and left to rest for the evening. Hospice & facility Admin will follow-up per protocol. [sic] Record review of Resident #2's admission record reflected a [AGE] year-old male admitted to the facility on [DATE]. His diagnoses included moderate intellectual disabilities (developmental delays resulting in an average mental age of 6 to 9 years old), generalized anxiety disorder (mental disorder characterized by excessive and persistent worry, fear, or anxiousness which significantly interferes with daily life), recurrent major depressive disorder (persistent feeling of sadness and loss of interest that occurs in episodes lasting weeks to months), dementia (memory and cognitive decline) in other diseases with mood disturbance, cognitive communication deficit (difficulty with communication), and mixed receptive-expressive language disorder (difficulty understanding spoken language and expressing thoughts through speech).Record review of Resident #2's quarterly MDS dated [DATE] reflected a BIMS score of 15 which indicated Resident #2 was cognitively intact. Record review of Resident #2's progress notes reflected the following entries:Nursing note created by the DON, effective on 02/09/26 at 1:30pm, which stated, Resident was placed on a 1:1 monitoring for any inappropriate behavior post allegation. Guardian [name] was made aware of resident being placed on 1:1 while facility conducts investigation. [Doctor name] was made aware.Social service note created by the SW, effective 02/10/26 at 11:14am, which stated, MSW checked on resident who is being monitored 1:1. Resident was sleeping in his bed with no television or radio on. Will follow up.In a telephone interview on 02/09/26 at 1:14pm, the RP stated on 02/07/26 she was feeding Resident #1 dinner. Resident #2 was walking into his own room and Resident #1 started getting a little fearful/ anxious. The RP stated Resident #1 held her hand and said he had to tell her something. The RP stated Resident #1 got a little antsy and told her, that man who was standing at the door (Resident #2) went into his room and put his finger in his rectum. Resident #1 did not tell the RP when this incident allegedly happened. The RP stated Resident #1 had dementia and a little bit of confusion sometimes, but he also had some very clear days. The RP stated Resident #1 had never made this kind of allegation before. The RP stated she told the nurse who told the ADM, and they told hospice. The RP stated they (the HRN) assessed Resident #1 and did not find anything, so she did not know if Resident #1 got confused with a male nurse or what, so she got a camera for his room. The RP stated the facility did not deny anything or hide anything and they were very cooperative. The RP stated they moved Resident #1 to another hall and close to the nurse's station right away. On 02/09/26 at 1:33pm, the ADM went to the surveyors in the facility and stated she had just gotten a phone call from the hospice company in reference to an abuse allegation involving Resident #1. The ADM stated she had talked to the RP on 02/07/26 and the RP stated she and Resident #1 wanted a room change. The ADM stated the RP told her that the resident that walked up and down the hallway (Resident #2) made Resident #1 and the RP nervous and Resident #2 was too loud and that was why she requested the room change. The ADM stated she did not know about the allegation of sexual abuse before she received the phone call from the hospice company on 02/09/26, and that she made a self-report at that time. In an interview on 02/09/26 at 2:18pm, (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675815 If continuation sheet Page 2 of 7 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 675815 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/11/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Kingsville Nursing and Rehabilitation Center 3130 S Brahma Blvd Kingsville, TX 78363 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0607 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Resident #1 denied any abuse, sexual or otherwise. Resident #1 stated, yes when asked if staff was good to him. Resident #1 stated, no when asked if staff hurt him when providing care. Resident #1 was asked in both English and Spanish about the allegation that someone put a finger in his anus and denied it. Resident #1 stated no one has ever hurt him and he was not afraid of anyone or of reporting anything.In an interview on 02/09/26 at 3:56pm, CNA A stated Resident #1 was on the [hall number] and then got moved to the [hall number] on 02/07/26 around 6:30pm. CNA A stated that LVN C, the charge nurse, told her they moved Resident #1 because he said that Resident #2 touched him.In an interview on 02/09/26 at 4:33pm, CNA B stated she had only worked with Resident #1 on 02/07/26 when he moved to her hall. CNA B stated she was told by LVN C that Resident #1 was moved to her hall because Resident #2 touched him.In a telephone interview on 02/09/26 at 4:39pm, the HSW stated a family member told HRN E that Resident #1 said that Resident #2 had put his finger in his anus. HRN E contacted the HD who contacted HRN F, the on call hospice nurse, to go to the facility to assess Resident #1. The HSW stated she contacted APS and made a complaint on 02/07/26 at approximately 9:00pm.In a telephone interview on 02/09/26 at 4:50pm, the HD stated she was informed on 02/07/26 by HRN E that a family member called her and said that Resident #1 said that someone touched his butt and the RP was asking for someone to go assess him. The HD stated called her RN on call (HRN F) to go to the facility and do an assessment. The HD stated when HRN F was in route to the facility, she talked to the RP who said that she was visiting Resident #1, and he told her (the RP) that someone touched his butt which evolved into someone put their finger in his rectum. The RP told the HD that Resident #1 could not verbalize who did it but when Resident #2 yelled out, Resident #1 squeezed her hand and the RP theorized that it was him (Resident #2) that did it. The RP told the HD she talked to the ADM and told her about it, and they agreed to move him to another hall. The RP also stated the family had permission from the ADM to put a camera in Resident #1's room. The HD called the ADM of the facility at [ADM's personal phone number] on 02/07/26 at 7:42pm to let her know HRN F was headed to the facility to assess Resident #1 due to his allegation, and they spoke for approximately 9 minutes. The HD stated the ADM told her she was already aware of the allegation because she had talked to the RP and that she (the ADM) was going to do an investigation. The HD stated HRN F went with LVN D and examined Resident #1. The HD stated HRN F did not find any signs of trauma and Resident #1 could not verbalize what happened. In an interview on 02/10/26 at 9:48am, CNA G stated she asked why Resident #1 got moved to another hall and she was told by LVN D they moved him due to allegations.In an interview on 02/10/26 at 11:30am, the SW stated she found out in the morning meeting on 02/09/26 that Resident #1 had been moved because the family complained that Resident #2 had been loud. She stated she asked Resident #1 on 02/09/26 at approximately 5:00pm if any other residents had been in his room and he said no. The SW stated she asked Resident #1 if anyone had touched him, he said no, and if he was in pain and he said no. The SW stated she did not know the allegations about Resident #2, only that he was loud, and the family complained. She stated she noticed that Resident #2 was on 1:1, but she did not know why and had not asked anyone why.In a telephone interview on 02/10/26 at 2:05pm, LVN C stated she worked from 6:00pm to 10:00pm on 02/07/26 and did not know why Resident #1 was moved to another hall around 6:30pm to 7:00pm that evening. LVN C stated no one talked to her about why Resident #1 was moved. LVN C stated it was not until 02/08/26 that she heard something had happened between Resident #1 and Resident #2. Initially LVN C stated she did not know why Resident #1 was moved and did not find out until 02/08/26, however when asked if she told the CNAs on 02/07/26 why Resident #1 was moved she stated she told them that something happened between Resident #1 and Resident #2, but she did not know what. She stated she saw the ADM walking toward the front door and the DON in her (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675815 If continuation sheet Page 3 of 7 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 675815 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/11/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Kingsville Nursing and Rehabilitation Center 3130 S Brahma Blvd Kingsville, TX 78363 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0607 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some office when she clocked in at 6:00pm on 02/07/26 then she went to the floor and did not see them after that. In an interview on 02/10/26 at 2:30pm, ADON H stated she had heard that Resident #2 was on a 1:1 until the investigation was complete because he was accused of something, but she did not want to say what she heard because she did not know what was real or the truth.In an interview on 02/10/26 at 2:42pm, ADON I stated she was the ADON on call on 02/07/26 and was not aware of the situation between Resident #1 and Resident #2. ADON I stated she found out that Resident #1 had been moved during the morning meeting on 02/09/26 and was told it was because the family was concerned that it was loud in the hallway, he was at the end of the hall, and they wanted him closer to the nurse's station. ADON I stated she found out the rest of the situation when she followed up with the HD before lunch on 02/09/26. ADON I stated she spoke to the HD directly and was told that HRN F went to the facility on [DATE] assessed Resident #1 due to an allegation that was made of possible sexual abuse. ADON I stated she then immediately told the ADM and the DON about the allegation. ADON I stated to her knowledge the ADM and the DON did not know about the allegation before she told them on 02/09/26, sometime before lunch. ADON I stated any allegations of abuse were to be reported right away to the ADM. ADON I stated when residents were moved, staff had to contact the ADM to get approval and no one else could make that decision. ADON I stated she did not know why staff did not call her on 02/07/26 when Resident #1 made an allegation and was moved. ADON I stated it was the charge nurse's responsibility to call her and LVN J was the charge nurse on 02/07/26 from 6:00am to 6:00pm. ADON I stated staff usually called her for every little thing but did not call her about this. ADON I stated she assumed staff called the ADM since Resident #1 got a room change. ADON I stated the reason a hospice nurse went to the facility to assess Resident #1 on 02/07/26 should have been documented. ADON I stated she was not aware of the allegation of sexual abuse, and she did not know why no one reported it to her on 02/07/26. She stated staff should have notified the ADM as well as the on call immediately and if abuse was not reported or investigated, it could cause the resident to experience emotional distress, ongoing abuse, and depression.In an interview on 02/10/26 at 3:22pm, the DON stated if the ADM was not there and an allegation of abuse was made; she would be responsible for the paperwork and the investigation. The DON stated the staff member who claimed, witnessed, or was told about any type of abuse was responsible for telling the ADM. The DON stated Resident #1's room change was on 02/07/26. The DON stated the ADM called her the evening of 02/07/26 and let her know that staff had called her about some concerns that the RP had. The ADM told the DON that the RP had some concerns about Resident #2 being loud and it made Resident #1 anxious, so the ADM offered the RP a room change. The DON stated she did not come into the facility that night and she was not sure if the ADM had come in. The DON stated she found out on 02/09/26 either right before or right after lunch when ADON I went to tell her and the ADM of the abuse allegation. The DON stated she talked to HRN E after ADON I told her about the allegation. The DON stated she saw the RP on Monday morning (02/09/26) and the RP did not tell her about the sexual abuse allegation. The DON stated in relation to the struck out note by LVN D on 02/07/26, maybe HRN F just came in to assess Resident #1. The DON stated they tried to teach the staff to document thoroughly, accurately, and timely. The DON stated she did not think LVN D knew why HRN F was at the facility to assess Resident #1. The DON stated the ADM was the person who talked to the RP on Saturday evening (02/07/26). The DON stated if she received a report of abuse from someone, she first went to the original person who made the allegation and ensured what was actually said. The DON stated if there was an abuse allegation made, even if she knew that it did not happen, it would have to be reported. The DON stated if she talked to the resident who made an allegation and they said they did not make the abuse allegation, then she would not report it. (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675815 If continuation sheet Page 4 of 7 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 675815 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/11/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Kingsville Nursing and Rehabilitation Center 3130 S Brahma Blvd Kingsville, TX 78363 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0607 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some The DON stated she did not feel like Resident #1 would be a reliable source because he would only say a few words. The DON stated if the facility did not report or investigate an allegation of abuse, it could potentially harm a resident because it could cause psychosocial or physical harm. The DON stated If there was a significant event, it was to be reported to the provider and documented as soon as possible, but no later than the end of the shift. In an interview on 02/10/26 at 4:14pm, the ADM stated she got a call from LVN J on 02/07/26 who told her that Resident #1's RP told her that someone touched his butt. The ADM asked if the RP was making an allegation and LVN J said no, she did not think so because she (LVN J) asked Resident #1 about it and he said no so LVN J told the RP she would let the ADM know about it. The ADM asked LVN J if the RP gave her any other context or if Resident #1 was hurt and LVN J said no. The ADM told LVN J she would call back to the nurse's station and to have the RP come talk to her. The ADM stated when she called back and the RP got on the phone with her, the ADM asked the RP if she felt like someone hurt Resident #1 or touched him inappropriately and the RP said no. The ADM stated the RP told her Resident #1 told the RP that, someone touched his [spanish slang word for anus]. The RP asked Resident #1 who did it and he did not answer her, but a few minutes later when Resident #2 yelled, Resident #1 squeezed her hand, so she assumed it was Resident #2 that had put a finger in Resident #1's anus. The ADM stated she asked the RP again if she was making an allegation and the RP told her, well, Resident #1 was very prideful, and she wanted the staff to be very careful when moving or changing him. The ADM stated the RP told her that she did not like that hallway because Resident #2 was too loud or his tv was too loud and she felt like the loudness made Resident #1 more anxious. The ADM stated she offered the RP a room change and the RP asked for a room closer to the nurse's station in a different hall and that she wanted the room changed that night. The ADM stated the RP asked about putting a camera in Resident #1's room and the ADM told her that would not be a problem. The ADM stated she spoke to LVN J again and they discussed moving Resident #1. The ADM stated she got a phone call from HRN F with [name of hospice company] at 7:40pm on 02/07/26 who said that she had been trying to call but not getting an answer at the facility to let them know she was on her way. The ADM stated she called the facility to let them know that hospice was trying to call. The ADM stated, That was pretty much all for that night. The ADM stated on Sunday morning, the RP talked to the ADM and stated she wanted to thank her for moving Resident #1 and she was not going to stay at the facility for very long. The ADM stated she did not know what time it was but on 02/09/26, the RNC went to her and told her they had an allegation of abuse, so she notified the surveyors who were on site and made a self-report. The ADM stated she spoke to HRN F and not to the HD on 02/07/26 and that she was not told why HRN F went to the facility that evening. The ADM stated she found out about the allegation early afternoon on 02/09/26. The ADM stated she was told (unknown by who) that the RP's family member reached out to HRN E directly and told her about the allegation of abuse, so HRN E talked to a CNA (hospice) and then talked to the HD. The ADM stated if they got an allegation of abuse, it was reported immediately. The ADM stated if she got an allegation of abuse, then asked the resident (or RP) about it and they said it did not occur, she would still report it, but in this case, the RP did not make an actual allegation of abuse to her. The ADM stated the RP just stated that Resident #1 was very prideful and did not like anyone to touch his butt. The ADM stated if an allegation of abuse was made it was the ADM's responsibility to report it immediately to HHSC. The ADM stated If it was not reported, the resident could be left in jeopardy, and it could result in continued abuse or abuse to others. The ADM stated, in her opinion, this was not reportable initially from the information she was given. If an allegation had been made, it would have been reported to the provider, the RP, ombudsman, and her staff immediately. In an (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675815 If continuation sheet Page 5 of 7 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 675815 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/11/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Kingsville Nursing and Rehabilitation Center 3130 S Brahma Blvd Kingsville, TX 78363 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0607 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some interview on 02/10/26 at 5:02pm, LVN D stated whatever happened with Resident #1 on 02/07/26 happened before she got there. LVN D stated HRN F went in to assess Resident #1 and asked LVN D to go in the room with her to do that assessment. LVN D stated she struck out her note from 02/07/26 because she did not feel comfortable using the word report because she did not what, if any, report had been made. LVN D stated HRN F stated she was there about the concern that had been made earlier. LVN D stated she did not talk to family, so she did not know what the concern was or what had been said and HRN F only said she was there to check Resident #1's bottom. LVN D stated HRN F checked Resident #1's bottom and his rectum and said it was because of whatever complaint or concern had been made that evening. LVN D stated HRN F was trying to talk to Resident #1, but he was hard to understand most of the time and HRN F could not understand him. LVN D stated HRN F just told him hi, and asked if she could check him, but he was not understandable. LVN D stated she did not remember HRN F asking any questions about why she was checking his bottom. LVN D stated LVN J told her Resident #1 had told his RP he was touched inappropriately but she did not get any details of what happened or what he said happened. LVN D stated allegations of abuse were to be reported to the administrator right away and if abuse was not reported, it could happen again or continue to happen and could lead to harm to the resident in more than one way.In a telephone interview on 02/11/26 at 8:51am, HRN F stated she was the on call nurse for the hospice company on 02/07/26. HRN F stated she got a call from the HD at 7:53pm on 02/07/26 to let her know that a complaint had come in from the RP.HRN F stated the HD told her she was going to reach out to the facility and the family but wanted her to head to the facility. HRN F stated the HD was detailed about the allegation the resident made. HRN F stated she met up with LVN D at the facility and told her exactly why she was there- which was because, Resident #1 stated another resident went into his room and put a finger in his butt. HRN F asked LVN D to accompany her into the room to assess Resident #1. HRN F stated she did not see any trauma and Resident #1 denied any accusations. HRN F stated some of Resident #1's words were clear, but some were very garbled. HRN F stated no family was at the facility when she assessed Resident #1. HRN F stated she typed up a progress note to go with the visit in her company's charting system. In an interview on 02/11/26 at 9:23am, the HD stated she spoke to the ADM on 02/07/26 and called her directly from her cell phone to the ADM's personal cell phone. The HD provided the cell phone number she called, and it was the ADM's personal cell phone number. The HD stated when she spoke to the ADM, the ADM already knew about the allegation and had already spoken to the RP, had talked to staff, and told the HD she was starting the investigation process. The HD stated to her knowledge, the RP called HRN E directly and told her what Resident #1 said and told HRN E she wanted a hospice nurse to go and assess so that it was not just a facility nurse that assessed him. The HD stated that she did not speak to the ADM again after that.In a telephone interview on 02/11/26 at 9:43am, HRN E stated a family member of Resident #1's messaged her on a social media application and asked her to call another of Resident #1's family members, ASAP. HRN E stated she called Resident #1's family member to find out what was going on HRN E stated the family member was distraught and told her it was about, Resident #1 and the facility and they needed to report the facility, and it was so awful and she couldn't speak of it. HRN E named several things that could have happened and when she said rape, the family member said, yes, that one. HRN E then told the family member she had to call her boss and report it. HRN E stated she called the HD, the HD called the RP, then HRN E was not involved with that situation anymore. HRN E stated Resident #1 always said, don't touch my [spanish slang word for anus], and when HRN E asked him what it was Resident #1 said, my ass. HRN E stated he would say it when she checked on his pressure wounds on his sacrum and gluteus and when the hospice CNA was giving him a bed bath with soap (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675815 If continuation sheet Page 6 of 7 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 675815 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/11/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Kingsville Nursing and Rehabilitation Center 3130 S Brahma Blvd Kingsville, TX 78363 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0607 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some FORM CMS-2567 (02/99) Previous Versions Obsolete and water.Record review of the facility's Abuse, Neglect and Exploitation policy dated 08/15/22 reflected in part: Policy: It is the policy of this facility to provide protections for the health, welfare and rights of each resident by developing and implementing written policies and procedures that prohibit and prevent abuse, neglect, exploitation and misappropriation of resident property.Sexual Abuse is non-consensual sexual contact of any type with a resident.Policy Explanation and Compliance Guidelines:1. The facility will develop and implement written policies and procedures that:b. Establish policies and procedures to investigate any such allegations;2. The facility will designate an Abuse Prevention Coordinator in the facility who is responsible for reporting allegations or suspected abuse, neglect, or exploitation to the state survey agency and other officials in accordance with state law.3. The facility will provide ongoing oversight and supervision of staff in order to assure that its policies are implemented as written.The components of the facility abuse prohibition plan are discussed herein:II. Employee TrainingC. Training topics will include:2. Identifying what constitutes abuse, neglect, exploitation, and misappropriation of resident property;4. Reporting process for abuse, neglect, exploitation, and misappropriation of resident property, including injuries of unknown sources;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:3. Investigating different types of alleged violations;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.VII. Reporting/ResponseA. The facility will have written procedures that include:1. Reporting of all alleged violations to the Administrator, state agency, adult protective services and to all other required agencies (e.g., law enforcement when applicable) within specified timeframes:a. Immediately, but not later than 2 hours after the allegation is made, if the events that cause the allegation involve abuse or result in serious bodily injury.B. The Administrator will follow up with government agencies, during business hours, to confirm the initial report was received, and to report the results of the investigation when final within 5 working days of the incident, as required by state agencies. Event ID: Facility ID: 675815 If continuation sheet Page 7 of 7