Failure to Provide Quarterly Personal Fund Statements
Penalty
Summary
The facility failed to provide quarterly personal fund statements to two residents, which is a requirement for managing residents' personal funds. Resident 19 was aware of the approximate amount in her personal funds account but did not receive a written statement at least quarterly. The clinical record for Resident 19 included a Resident Personal Fund Authorization form with an undated signature that did not specify the facility's obligation to provide quarterly statements or designate a recipient for the statement. Interviews with the Nursing Home Administrator and the Director of Nursing revealed that no staff could confirm the provision of personal fund statements to Resident 19. Similarly, Resident 40 and her mother confirmed that they did not receive quarterly statements of her personal funds, despite the facility holding money for her. The clinical record for Resident 40 included a signed Resident's Personal Fund Agreement, which stated that the facility would maintain a record of all transactions and provide an itemized quarterly statement. However, the Nursing Home Administrator confirmed that the facility had not provided these statements to Resident 40. The facility had no evidence of providing quarterly statements to either resident until questioned by surveyors.
Plan Of Correction
The Facility submits this Plan of Correction under procedures established by the Department of Health in order to comply with the Department's directive to change conditions which the Department alleges is deficient under State and/or Federal Long Term Care Regulations. This Plan of Correction should not be construed as either a waiver of the facility's right to appeal or challenge the accuracy or severity of the alleged deficiencies or an admission of past or ongoing violation of State or Federal regulatory requirements. 1. Residents 19 and 40 received a copy of their most recent quarterly statement during survey. 2. All residents who signed a Resident's Personal Fund Agreement have been received a copy of their most recent quarterly statement. 3. Education will be provided to the business office manager to provide and document receipt of quarterly statements for all residents who have signed a Resident's Personal Fund Agreement. 4. Quarterly audits will be completed x4 to ensure residents received quarterly statement with results presented in QAPI. 5. Compliance date: January 28, 2025.