A nursing home in Co Louth has been criticised by HIQA for failing in its legal duty to report allegations of staff misconduct to the independent health watchdog.
St Peter's Nursing Home in Castlebellingham was also found to have failed to report allegations of abuse or to investigate them internally.
St Peter's had 39 residents in its care when HIQA made an unannounced inspection last January.
The review was triggered by the watchdog's receipt of unsolicited information outlining what it calls "significant issues of concern" regarding the care and welfare of residents.
Today's report says many of those issues were substantiated during the inspection.
The previous months had seen an increase in adverse events and serious incidents involving residents and a significant number of them had not been reported appropriately within the organisation.
The owner, Costern, had failed in its legal duty to report allegations of staff misconduct to the independent health watchdog.
It had also failed to report allegations of abuse to HIQA or to investigate them internally in accordance with its own procedures.
There had been a high turnover in nursing and care staff in the previous 12 months and gaps found in clinical records did not demonstrate a high standard of evidence-based nursing care.
Meanwhile, a HIQA inspection of the 84-bed Sacred Heart Residence, run by the Little Sisters of the Poor in north Dublin, found major non-compliance with six of the nine standards reviewed.
Examples of poor care practices included manual handling and incontinence care.
Pressure sores were not notified to HIQA within the required three-day period and a record of all incidents of them and their treatment was not made available to inspectors.
Finally, the procedures in place governing the use of bed rails were not in line with HIQA's national policy on restraint.
