2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle B - Licensing of Health Facilities › Chapter 260A - Reports of Abuse, Neglect, and Exploitation of Residents of Certain Facilities › Section 260A.007. Investigation and Report of Department

Sec. 260A.007.  INVESTIGATION AND REPORT OF DEPARTMENT.  (a)  The department shall make a thorough investigation after receiving an oral or written report of abuse, neglect, or exploitation under Section 260A.002 or another complaint alleging abuse, neglect, or exploitation.
(b)  The primary purpose of the investigation is the protection of the resident.
(c)  The department shall begin the investigation:
(1)  within 24 hours after receipt of the report or other allegation, if the report of abuse, neglect, exploitation, or other complaint alleges that:
(A)  a resident's health or safety is in imminent danger;
(B)  a resident has recently died because of conduct alleged in the report of abuse, neglect, exploitation, or other complaint;
(C)  a resident has been hospitalized or been treated in an emergency room because of conduct alleged in the report of abuse, neglect, exploitation, or other complaint;
(D)  a resident has been a victim of any act or attempted act described by Section 21.02, 21.11, 22.011, or 22.021, Penal Code; or
(E)  a resident has suffered bodily injury, as that term is defined by Section 1.07, Penal Code, because of conduct alleged in the report of abuse, neglect, exploitation, or other complaint; or
(2)  before the end of the next working day after the date of receipt of the report of abuse, neglect, exploitation, or other complaint, if the report or complaint alleges the existence of circumstances that could result in abuse, neglect, or exploitation and that could place a resident's health or safety in imminent danger.
(d)  The executive commissioner shall adopt rules governing the conduct of investigations, including procedures to ensure that the complainant and the resident, the resident's next of kin, and any person designated to receive information concerning the resident receive periodic information regarding the investigation.
(e)  In investigating the report of abuse, neglect, exploitation, or other complaint, the investigator for the commission shall:
(1)  conduct an unannounced investigation to determine the nature and cause of the alleged abuse, neglect, or exploitation of the resident;
(2)  interview each available witness, including the resident who suffered the alleged abuse, neglect, or exploitation if the resident is able to communicate or another resident or other witness identified by any source as having personal knowledge relevant to the report of abuse, neglect, exploitation, or other complaint;
(3)  inspect any physical circumstance that is relevant and material to the report of abuse, neglect, exploitation, or other complaint and that may be objectively observed;
(4)  if an on-site investigation is conducted, make a photographic record of any injury to a resident, subject to Subsection (n);
(5)  write an investigation report that includes:
(A)  the investigator's personal observations;
(B)  a review of relevant documents and records;
(C)  a summary of each witness statement, including the statement of the resident that suffered the alleged abuse, neglect, or exploitation and any other resident interviewed in the investigation; and
(D)  a statement of the factual basis for the findings for each incident or problem alleged in the report or other allegation; and
(6)  for a resident of an institution or assisted living facility, inspect any court order appointing a guardian of the resident who was the subject of the alleged abuse, neglect, or exploitation that is maintained in the resident's medical records under Section 242.019 or 247.070.
(e-1)  In addition to the requirements under Subsection (e), the commission shall make an unannounced visit to a facility to conduct an investigation of abuse or neglect.
(f)  An investigator for an investigating agency shall conduct an interview under Subsection (e)(2) in private unless the witness expressly requests that the interview not be private.
(g)  Not later than the 30th day after the date the investigation is complete, the investigator shall prepare the written report required by Subsection (e).  The department shall make the investigation report available to the public on request after the date the department's letter of determination is complete.  The department shall delete from any copy made available to the public:
(1)  the name of:
(A)  any resident, unless the department receives written authorization from a resident or the resident's legal representative requesting the resident's name be left in the report;
(B)  the person making the report of abuse, neglect, exploitation, or other complaint; and
(C)  an individual interviewed in the investigation;  and
(2)  photographs of any injury to the resident.
(h)  In the investigation, the department shall determine:
(1)  the nature, extent, and cause of the abuse, neglect, or exploitation;
(2)  the identity of the person responsible for the abuse, neglect, or exploitation;
(3)  the names and conditions of the other residents;
(4)  an evaluation of the persons responsible for the care of the residents;
(5)  the adequacy of the facility environment; and
(6)  any other information required by the department.
(i)  If the department attempts to carry out an on-site investigation and it is shown that admission to the facility or any place where the resident is located cannot be obtained, a probate or county court shall order the person responsible for the care of the resident or the person in charge of a place where the resident is located to allow entrance for the interview and investigation.
(j)  Before the completion of the investigation, the department shall file a petition for temporary care and protection of the resident if the department determines that immediate removal is necessary to protect the resident from further abuse, neglect, or exploitation.
(k)  If the department determines the report of abuse, neglect, or exploitation is substantiated at the conclusion of the investigation, the department shall make a complete final written report of the investigation and submit the report and its recommendations to the appropriate law enforcement agency.
(l)  Within 24 hours after receipt of a report of abuse, neglect, exploitation, or other complaint described by Subsection (c)(1), the department shall report the report or complaint to the law enforcement agency described by Section 260A.017(a).  The department shall cooperate with that law enforcement agency in the investigation of the report or complaint as described by Section 260A.017.
(m)  The inability or unwillingness of a local law enforcement agency to conduct a joint investigation under Section 260A.017 does not constitute grounds to prevent or prohibit the department from performing its duties under this chapter.  The department shall document any instance in which a law enforcement agency is unable or unwilling to conduct a joint investigation under Section 260A.017.
(n)  If the department determines that, before a photographic record of an injury to a resident may be made under Subsection (e), consent is required under state or federal law, the investigator:
(1)  shall seek to obtain any required consent; and
(2)  may not make the photographic record unless the consent is obtained.
Added by Acts 2011, 82nd Leg., 1st C.S., Ch. 7 (S.B. 7), Sec. 1.05(c), eff. September 28, 2011.
Amended by:
Acts 2015, 84th Leg., R.S., Ch. 1 (S.B. 219), Sec. 3.0819, eff. April 2, 2015.
Acts 2015, 84th Leg., R.S., Ch. 724 (H.B. 1337), Sec. 3, eff. September 1, 2015.
Acts 2017, 85th Leg., R.S., Ch. 1031 (H.B. 1642), Sec. 1, eff. September 1, 2017.
Acts 2023, 88th Leg., R.S., Ch. 887 (H.B. 4696), Sec. 12, eff. September 1, 2023.