**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on a facility policy titled ABUSE, NEGLECT AND EXPLOITATION PREVENTION, REPORTING AND INVESTIGATING and a review of a facility document titled,Grievance report record review and interviews, the facility failed to ensure an allegation of abuse was reported to the State Survey Agency. This affected RI (Resident Identifier) #122, one of one sampled residents reviewed for abuse reporting. Findings include: A review of a facility policy titled, ABUSE, NEGLECT AND EXPLOITATION PREVENTION, REPORTING AND INVESTIGATING with a revised date of July 2017 revealed the following: .V. INVESTIGATION . B. The DON(Director of Nursing)/Designee will report alleged abuse/suspected instances of mistreatment .immediately (as soon as possible but not to exceed 2 hours). RI #122 was re-admitted to the facility on [DATE] with diagnoses of Heart Failure, Parkinson's Disease and Epilepsy. A review of a facility document titled, Grievance report with a submitted date of 9/22/2017 revealed EI (Employee Identifier) #2, RN (Registered Nurse) informed the Abuse Coordinator/DON, EI #1 of RI #122's family member commenting on social media regarding his concern of RI #122 being snatched and jerked around and mistreated at the facility. According to the Grievance report EI (Employee Identifier) #1, DON conducted interviews from 09/22/2017 until 09/28/2017 with staff and family members of RI #122 regarding this submitted grievance. On 02/15/2018 at 4:35 p.m., a telephone interview was conducted with EI #2, the nurse who reported the social media comment. EI #2 explained she was informed by a Certified Nursing Assistant, whose name she could not remember, of a allegation made by RI #122's family member. EI #2 further explained she informed EI#1, the DON, once the allegation was reported to her. On 02/15/2018 at 5:11 p.m., an interview was conducted with EI #1. EI #1 was asked how did the facility define abuse. EI #1 explained the definition of abuse was the willful infliction of harm to a resident and the types of abuse were verbal, sexual, mental, neglect, physical, exploitation. EI #1 was asked when should allegations of abuse be reported to the State Survey Agency. EI #1 explained within two hours of suspected abuse. EI #1 said the facility is to report all allegations of abuse. EI #1 was asked why should allegations of abuse be reported the State Agency. EI #1 explained it was part of the regulations. EI #1 was asked who was the Abuse Coordinator at the facility. EI #1 said she was the Abuse Coordinator and so was the Social Service Coordinator. EI #1 was asked to review the Grievance report dated 9/22/2017 regarding RI #122. EI #1 was asked why were interviews conducted regarding the allegations written on social media regarding RI #122. EI #1 said because she was concerned about the statement that was posted on social media by RI #122's family member regarding the resident being snatched around and mistreated and wanted to verify if the allegation had occurred. EI #1 was asked who had conducted the interviews. EI #1 explained she had conducted all the interviews but one and stated Social Services had conducted the last interview. EI #1 was asked why was this incident/allegation not reported to the State Agency. EI #1 explained she did not report it because she felt she had ruled out any allegation of abuse. EI #1 was asked what was the facility's policy for reporting allegations of abuse to the State Survey Agency. EI #1 said to report it within two hours of the receipt of the allegation. EI #1 was asked was the allegation regarding RI #122 reported to the State Survey Agency. EI #1 said no. EI #1 was asked should the allegation regarding RI #122 have been reported to the State Agency. EI #1 said yes.