A Long Term Care (LTC) facility shall ensure that all crimes or alleged violations involving abuse, neglect, exploitation or mistreatment, including injuries of unknown source and misappropriation of resident property, are reported 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, or not later than 24 hours if the events that cause the allegation do not involve abuse and do not result in serious bodily injury, to the administrator of the facility and to other officials (including to the State Survey Agency and adult protective services where state law provides for jurisdiction in long-term care facilities). Each covered individual shall also report immediately, but not later than 2 hours after forming suspicion, if the events that cause the suspicion result in serious bodily injury, or not later than 24 hours if the events that cause the suspicion do not result in serious bodily injury. Additionally, these violations or alleged violations must be investigated and the results of the investigation must be reported to the Bureau within 5 days.

Facilities must report sexual abuse/assault on a patient or staff member within or on the grounds of a healthcare setting. Language and definitions may vary based on state statute; however, the principle and intent remain regardless of language required based on jurisdiction.

Facilities must report death or serious injury of a patient or staff member resulting from a physical assault (i.e., battery) that occurs within or on the grounds of a healthcare setting. Language and definitions may vary based on state statute; however, the principle and intent remain regardless of language required based on jurisdiction.

Any licensed health care professional or hospital personnel who in a professional or occupational capacity knows or has reasonable cause to believe that an older person (elder abuse) or vulnerable person has been abused, neglected, exploited, isolated or abandoned shall report the abuse or neglect.