We had a situation last year involving an elder abuse allegation. The family indicated they would be filing a complaint. Investigation was promptly completed and the findings were discussed with Administration. Despite recommendations to self-report this incident to DOH, the decision was made not to report. Consequently, one year post-event, we had a surprise visit from DOH and were cited for not reporting. As always, there are pros and cons to self-reporting. Make sure that there is a detailed discussion about the ramifications of not reporting. Otherwise, you could find yourself with DOH knocking at your door!