55 Pa. Code § 6400.18 - Incident report and investigation
(a) The home shall report the following
incidents, alleged incidents and suspected incidents through the Department's
information management system or on a form specified by the Department within
24 hours of discovery by a staff person:
(1)
Death.
(2) A physical act by an
individual in an attempt to complete suicide.
(3) Inpatient admission to a
hospital.
(4) Abuse, including
abuse to an individual by another individual.
(5) Neglect.
(6) Exploitation.
(7) An individual who is missing for more
than 24 hours or who could be in jeopardy if missing at all.
(8) Law enforcement activity that occurs
during the provision of a service or for which an individual is the subject of
a law enforcement investigation that may lead to criminal charges against the
individual.
(9) Injury requiring
treatment beyond first aid.
(10)
Fire requiring the services of the fire department. This provision does not
include false alarms.
(11)
Emergency closure.
(12) Theft or
misuse of individual funds.
(13) A
violation of individual rights.
(b) The home shall report the following
incidents, alleged incidents and suspected incidents through the Department's
information management system or on a form specified by the Department within
72 hours of discovery by a staff person:
(1)
Use of a restraint.
(2) A
medication error as specified in §
6400.167 (relating to medication
errors), if the medication was ordered by a health care
practitioner.
(c) The
individual and persons designated by the individual shall be notified within 24
hours of discovery of an incident relating to the individual.
(d) The home shall keep documentation of the
notification in subsection (c).
(e)
The incident report, or a summary of the incident, the findings and the actions
taken, redacted to exclude information about another individual and the
reporter, unless the reporter is the individual who receives the report, shall
be available to the individual, and persons designated by the individual, upon
request.
(f) The home shall take
immediate action to protect the health, safety and well-being of the individual
following the initial knowledge or notice of an incident, alleged incident or
suspected incident.
(g) The home
shall initiate an investigation of an incident, alleged incident or suspected
incident within 24 hours of discovery by a staff person.
(h) A Department-certified incident
investigator shall conduct the investigation of the following incidents:
(1) Death that occurs during the provision of
service.
(2) Inpatient admission to
a hospital as a result of an accidental or unexplained injury or an injury
caused by a staff person, another individual or during the use of a
restraint.
(3) Abuse, including
abuse to an individual by another individual.
(4) Neglect.
(5) Exploitation.
(6) Injury requiring treatment beyond first
aid as a result of an accidental or unexplained injury or an injury caused by a
staff person, another individual or during the use of a restraint.
(7) Theft or misuse of individual
funds.
(8) A violation of
individual rights.
(i) The
home shall finalize the incident report through the Department's information
management system or on a form specified by the Department within 30 days of
discovery of the incident by a staff person unless the home notifies the
Department in writing that an extension is necessary and the reason for the
extension.
(j) The home shall
provide the following information to the Department as part of the final
incident report:
(1) Additional detail about
the incident.
(2) The results of
the incident investigation.
(3)
Action taken to protect the health, safety and well-being of the
individual.
(4) A description of
the corrective action taken in response to an incident and to prevent
recurrence of the incident.
(5) The
person responsible for implementing the corrective action.
(6) The date the corrective action was
implemented or is to be implemented.
Notes
The provisions of this § 6400.18 amended under sections 201(2), 403(b), 403.1(a) and (b), Articles IX and X of the Human Services Code (62 P.S. §§ 201(2), 403(b), 403.1(a) and (b) and 901-922 and 1001-1088); and section 201(2) of the Mental Health and Intellectual Disability Act of 1966 (50 P.S. § 4201(2)).
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.