LC-SelfReportErrors

Common Self-Report Errors

Consider the common errors and tips below when completing a health facility self-report.

• Issues with "who"
  • Misspelled names - causes significant challenges
  • Names in wrong fields
  • Not including all residents or staff involved
  • Not including names of accused staff
  • Not including names of witnesses
• Issues with "when"
  • Inaccurate or unclear dates and times
  • Be sure to include in narrative when facility was aware of incident
• Issues with "what"
  • Not entering specific information in the narrative
  • Not including when the allegation was reported to the facility staff member and administrator/designees
  • Not including the involved resident's cognitive status
  • Not including what was done to protect others
  • Do include what was seen, heard, and being alleged/reported
  • Do not use generic, unclear terms
  • Do include descriptions, direct quotes
• Incomplete information
  • Was the allegation substantiated or not?
  • Include information to support the facility's conclusion
  • Include whether there was an existing relevant care plan
  • Was the care plan followed?
  • What corrective action was taken?
• HCQC may conduct an on-site investigation at any time because of:
  • A lack of reporting or failure to provide a final report within 5 days.
  • Inconsistent reporting of information
  • When additional information from all sources makes a determination of disposition unclear (e.g., immobile resident found on the floor)