Failure to Convey Resident Funds Timely
Penalty
Summary
The facility failed to ensure that personal funds deposited with the facility were conveyed to the resident or their representative within thirty days after discharge or death for three residents. The review of the facility's Resident Fund Management Services (RFMS) on 02/19/2025 revealed that Resident #4, #7, and #8 had balances of $3,814.35, $1,470.59, and $340.54, respectively. Resident #4 was discharged to the community on 12/17/2024, Resident #7's discharge date was not specified, and Resident #8 was discharged on 10/04/2024. During an interview, the Nursing Home Administrator (NHA) acknowledged that the RFMS information was inaccurate but did not provide alternative information or a policy for the conveyance of personal funds. No policy was provided during the survey, indicating a lack of proper management and timely return of resident funds.
Plan Of Correction
Resident #4, #7, #8 personal funds accounts were reconciled, closed out, then issued the balance. A finance coordinator was hired with a responsibility of maintaining resident funds accounts. Current residents with personal funds accounts were audited. Findings were corrected and accounts reconciled to reflect accurate amounts and balances. Residents that have been discharged for the past 30 days, accounts were closed out in RFMS and refunds sent to responsible party/resident. Nursing home administrator was re-educated by COO to ensure residents with personal funds deposited with the facility were conveyed to the resident or resident representative within 30 days after discharge. The Nursing Home Administrator or designee will complete quality reviews weekly for 4 weeks, then monthly for 2 months thereafter to ensure ongoing and sustained compliance. Findings from the quality review audits will be reviewed and discussed by the Quality Assurance Performance Improvement (QAPI) Committee monthly for 3 months. Non-compliance will be reviewed by the QAPI committee with direct changes to the plan as deemed necessary to ensure ongoing and sustained compliance.