Non-Compliance in Management of Residents' Personal Funds
Penalty
Summary
Kadima Rehabilitation & Nursing at Cheswick was found to be non-compliant with federal and state regulations regarding the management of residents' personal funds. The facility failed to maintain sufficient petty cash on hand to meet the residents' needs for three consecutive days. This deficiency was identified during an abbreviated survey conducted in response to five complaints. The facility's policy, dated July 1, 2024, stated that it would maintain adequate petty cash funds to meet residents' needs, but this was not adhered to during the period in question. Interviews conducted during the survey revealed that residents experienced difficulties in accessing their personal funds when requested. A resident confirmed that there were concerns about obtaining personal funds, and the facility was denying withdrawals due to insufficient funds. The Nursing Home Administrator acknowledged the issue, confirming that the facility did not maintain enough petty cash for the specified days, resulting in residents being unable to withdraw cash from their personal funds as needed.
Plan Of Correction
1. The facility cannot correct that we did not maintain a sufficient amount of petty cash for 3 days (January 1, 2 & 3, 2025) to provide residents the amount they wanted to withdraw from their personal funds. 2. The facility will increase the dollar amount of petty cash to have on hand to ensure residents are not denied requested cash withdrawals from their RFMS accounts. 3. The NHA will educate the new BOM on the RFMS process to include maintaining a sufficient amount of cash to meet residents' requests for withdrawals from their accounts. 4. The Social Service Director/Designee will interview 5 residents with RFMS accounts weekly x 4 weeks, then 5 residents a month x 2, to determine if they received requested withdrawals from personal funds. The results of these audits will be reported to the Quality Assurance Performance Improvement Committee for review, recommendations, and frequency of audits. 5. Date of compliance 2-10-25