Failure to Provide Quarterly Personal Fund Statements
Penalty
Summary
Richfield Healthcare and Rehabilitation Center was found to be non-compliant with federal and state regulations regarding the management of residents' personal funds. The facility failed to provide quarterly personal fund statements to two residents, as required by 42 CFR Part 483, Subpart B, and the 28 PA Code. Interviews with Resident 3 and her sister revealed that the sister was unaware of the handling of Resident 3's personal allowance, and neither had received a statement accounting for the funds. A review of Resident 3's financial records showed no withdrawals from the account, resulting in a balance of $1,772.28. Similarly, Resident 13 and her husband confirmed that they had not received quarterly statements for her personal funds, despite the facility automatically receiving her social security payments. The facility's business office manager admitted to not providing these statements, and the Nursing Home Administrator confirmed the lack of evidence for issuing such statements to Residents 3 and 13. This deficiency highlights the facility's failure to maintain a proper accounting system for residents' personal funds, as required by the regulations.
Plan Of Correction
1. Resident 3 and Resident 13, along with their responsible parties, were provided with their personal fund statements immediately upon identification of the issue. 2. The Business Office Manager (BOM) reviewed the personal fund accounts for all residents to ensure no other individuals were missing quarterly statements. Any identified residents were provided with their statements. The facility revised its Personal Funds Management Policy to include a mandatory process for documenting and distributing quarterly statements to residents. 3. The Business Office Manager (BOM) and NHA received re-education on regulatory requirements regarding personal fund statements, including the obligation to provide statements at least quarterly. This training was completed by Seasoned BOM at a sister facility on 2-10-2025. 4. The Business Office Manager or designee will conduct a monthly audit of 5 randomly selected residents' personal fund accounts to verify that statements have been provided at least quarterly. Audits will be reviewed in QAPI.