Failure to Document Disposition of Resident's Belongings Post-Discharge
Penalty
Summary
The facility failed to meet the regulation regarding the protection of personal and property rights of residents, specifically concerning the return of personal property after discharge. This deficiency was identified through a clinical record review and staff interview, which revealed that there was no evidence documenting the disposition of a resident's personal belongings following their discharge. Resident 108 was admitted to the facility on February 8, 2024, and discharged home on November 11, 2024. However, the personal belongings inventory form for Resident 108 was not signed by the resident or their responsible party upon discharge, and there was no documentation in the closed clinical record indicating what happened to the resident's personal belongings after they left the facility.
Plan Of Correction
P1210 1. A signed belonging sheet cannot be retroactively produced for resident 108. 2. Audit will be completed of residents who have discharged from facility from January 6, 2025, to January 13, 2025, to ensure that disposition of their personal property was completed. 3. Education will be provided to licensed nursing staff on ensuring disposition of residents' personal property is completed and documented at the time of discharge. 4. Random audits will be completed by the DON or designee weekly for 4 weeks, then monthly for 2 months, on residents who have discharged from the facility to ensure disposition of their personal property is completed. Results of audits will be presented at the Quality Assurance Performance Improvement Committee meeting for review and recommendations.