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F0609
D

Failure to Timely Report Misappropriation of Resident Property

Shenandoah, Pennsylvania Survey Completed on 12-20-2024

Penalty

Fine: $67,76373 days payment denial
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to timely report an alleged misappropriation of resident property involving a resident who was cognitively intact, as indicated by a BIMS score of 15. The resident reported the theft of his cellphone in November to the facility staff, identifying two agency nurse aides as the alleged perpetrators. Despite the resident's prompt notification, the facility did not report the incident to local law enforcement, the State Licensing Agency, or the Local Area Agency on Aging within the required timeframes as outlined in their abuse policy. The facility's investigation lacked documented evidence of timely notifications to the appropriate authorities, and a PB-22 form was not completed within five working days for the alleged perpetrators. The resident independently contacted law enforcement, which initiated a police investigation. The facility's administrator confirmed the failure to adhere to the established reporting procedures, which delayed the investigation and response to the resident's allegation.

Plan Of Correction

This plan of correction is the center's credible allegation of compliance. Preparation and/or execution of this plan of correction does not constitute admission or agreement by the provider of the truth of the facts alleged or conclusion set forth in the statement of deficiencies. The plan of correction is prepared and/or executed solely because it is required by the provision of Federal and State Law. 1. Facility conducted an immediate investigation upon learning about the allegation. Local police were notified, and the facility replaced the alleged stolen phone, which the resident did not accept. Facility subsequently did report this event to the DOH on 12/20/2024. 2. Facility will audit last 30 days of grievances to ensure facility has made appropriate reports of any alleged misappropriation of resident property. 3. IDT team will be educated on reporting requirements of alleged misappropriation of resident property. 4. NHA/Designee will conduct audits of grievances to ensure any allegation of misappropriation of resident property has been timely reported to the DOH. Audits will be conducted three times per week x 2 weeks, then weekly x 2 weeks, then monthly x 3 months. All results will be reported to the QAPI Committee.

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