Based on record reviews, policy review and interview, the facility failed to ensure the reporting of an injury of unknown source for 1 of 3 residents reviewed. (Resident #1) The findings include: On 11/13/24, a record review was conducted for Resident #1. The resident was admitted for respite under hospice services on 10/10/24. The resident had reported pain to the right leg and an X-ray was ordered, which revealed a fracture of the right hip. The resident was transported to the emergency room as ordered. The resident had a diagnosis of dementia and could not say how they were injured. The resident did not have any documented falls. On 11/13/24 at approximately 11:46 AM, an interview was conducted with the Director of Nursing (DON). The DON stated she did not file a federal report for suspected abuse based upon an injury of unknown origin. She stated she was instructed by the Administrator not to do so. On 11/13/24 a review of the facility policy Reporting Abuse, Neglect, Exploitation, Mistreatment and Misappropriation of Property, 12/1/21, revised 7/29/23, states injuries of unknown origin to be reported . within 2 hours after the allegation is made .