Failure to Provide Quarterly Financial Statements to Residents
Penalty
Summary
The facility failed to ensure that resident financial records were made available through quarterly statements for two residents. The facility policy titled "Resident Personal Funds" mandates that residents have the right to manage their financial affairs, including receiving quarterly statements of their personal funds. However, the facility did not provide these statements to the residents, as confirmed by the Business Office Manager during an interview. The manager admitted that quarterly financial statements were not provided at the end of the quarter or within 30 days thereafter. Resident R1, who was admitted with diagnoses including heart disease and obstructive uropathy, had a trust fund account managed by the facility. The facility documentation showed discrepancies in the account balance over time, and there was no evidence that Resident R1 received a receipt for a transaction in June 2022. Similarly, Resident R3, admitted with conditions such as epilepsy and dysphagia, also had their finances managed by the facility, but there was no mention of quarterly statements being provided. This lack of compliance with the facility's policy and federal regulations led to the deficiency finding.
Plan Of Correction
1. Resident R1 $280.24 resident balance date 6/30/22 was previous ownership. New ownership did not occur until 11/1/23. New ownership although not their action made Resident R1 whole by placing $280.24 back in resident fund. 2. All residents were reviewed for any other like transactions from previous owners on 1/17/2025 by the Business Office Manager. Resident #3 received her statement on 1/17/2025. All residents and/or responsible party received their statement on 1/17/2025. 3. The Nursing Home Administrator will audit weekly to ensure resident funds have receipts for transactions weekly for four weeks then monthly ongoing. The Nursing Home Administrator will audit monthly to ensure that residents and/or responsible party receive their statement quarterly for resident funds. 4. Findings will be presented to the Quality Assurance Performance Improvement Committee for review and recommendations.