Failure to Document Resident's Personal Property Inventory
Penalty
Summary
The facility failed to maintain a complete and accurate record of a resident's personal possessions upon admission and discharge. This deficiency was identified through a review of clinical records and staff interviews, specifically concerning one resident, referred to as Resident 84. The resident was admitted to the facility on September 5, 2024, and discharged on September 24, 2024. However, the clinical record for Resident 84 did not include an inventory of personal belongings that should have been completed and signed by the resident or their representative upon both admission and discharge. An interview with the Assistant Director of Nursing (ADON) confirmed that the facility was unable to provide documented evidence of an inventory record for Resident 84's personal property, thus failing to ensure accurate accountability for the resident's belongings.
Plan Of Correction
Resident 84 discharged. To identify residents with the potential to be affected, medical records personnel will audit all current residents to ensure that a current inventory sheet is in the medical record. To prevent re-occurrence, the DON/designee will educate nursing staff on inventory sheet policy. To monitor and maintain compliance, medical records will audit new admissions weekly for 4 weeks and monthly for 2 months to ensure inventory sheets are complete. All results will be brought to the QAPI committee.