Section 100. Incident reports

A. Each facility shall report to the regional licensing office by the next working day any major incident that has negatively affected or that threatens the life, health, safety or welfare of any resident.

B. The report required in subsection A of this section shall include (i) the name of the facility, (ii) the name(s) of the resident(s) involved in the incident, (iii) the name of the person making the report, (iv) the date of the incident, (v) a description of the incident, and (vi) the actions taken in response to the incident.

C. The facility shall submit a written report of each incident specified in subsection A of this section to the regional licensing office within seven days after the incident took place. The report shall be signed and dated by the administrator and include the following information:

1. Name and address of the facility;

2. Name of the resident(s) involved in the incident;

3. Date and time of the incident;

4. Name, title, and signature of the person making the report;

5. Date of completion of the report;

6. Type of incident;

7. Description of the incident, the circumstances under which it happened, and when applicable, extent of injury or damage;

8. Location of the incident;

9. Actions taken in response to the incident;

10. Outcome resolution of the incident, and if applicable follow-up actions or care;

11. Name of staff person in charge at the time of the incident;

12. Names, telephone numbers and addresses of witnesses to the incident, if any.

D. The facility shall submit to the regional licensing office amendments to the written report when circumstances require, such as when substantial additional actions are taken, significant new information becomes available, or there is resolution of the incident after submission of the report.

E. A copy of the written report of each incident shall be maintained by the facility for at least two years.

Historical Notes

Derived from Volume 23, Issue 06, eff. December 28, 2006; amended, Virginia Register Volume 25, Issue 08, eff. February 5, 2009.

Statutory Authority

§§ 63.2-217 and 63.2-1732 of the Code of Virginia.