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Policy 115.383(F) requires testing for sexually transmitted infections as medically
indicated. Medical staff confirmed that such testing and related care would be
provided consistent with clinical judgment and accepted medical standards.
In accordance with Policy 115.383(G), all medical and mental health services related
to sexual abuse are provided at no cost to the resident, regardless of whether the
victim cooperates with an investigation or identifies the abuser.
Policy 115.383(H) requires that NNJDC attempt to conduct mental health
evaluations of known resident abusers within 60 days and provide treatment when
appropriate. Mental health staff reported that residents are routinely screened at
intake and typically receive mental health contact within 48 hours of admission.
Compliance Determination:
Based on the evidence reviewed, the auditor determined that the facility meets the
requirements of this standard and no corrective action is required.
115.386 Sexual abuse incident reviews
Auditor Overall Determination: Meets Standard
Auditor Discussion
The following evidence was reviewed to determine compliance with Standard
115.386:
Documents Reviewed:
· NNJDC Pre-Audit Questionnaire
· NNJDC Policy 115.386, PREA Sexual Abuse Incident Reviews
· Incident Review Files
· Notation of Recommendations for Improvement
· Facility Site Review Observations
Interviews Conducted:
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