Clarification of Reporting Mistreatment, Neglect and

Section 42 CFR 483.420(d)(2)of the ICFs/MR regulations addresses the obligation of the facility staff to report allegations of mistreatment, neglect or abuse, and injuries of unknown source immediately to the administrator of the facility or to other officials in accordance with State law through established procedures. Both State and Federal surveyors have requested further clarification regarding the parameters surrounding what constitutes "injuries of unknown source", the definition of "immediate" and to whom such allegations/injuries must be reported.