Failure to Provide Quarterly Financial Statements to Resident
Penalty
Summary
The facility failed to provide quarterly financial statements to a resident, as required by their policy and procedure. The policy mandates that residents or their legal representatives receive a statement showing the account balance, including funds deposited, withdrawn, and interest accrued, at least quarterly. However, during the recertification survey, it was found that a resident with intact cognition did not receive their account statements in writing within 30 days after the end of the quarter. The resident confirmed they had not been receiving copies of their account statements, despite having an account with the facility. Interviews with facility staff revealed a lack of communication and adherence to the policy. The Social Service Director claimed that statements were distributed to alert and oriented residents and mailed to families of those who were not. However, the Financial Controller and the Administrator were unaware that the resident had not been receiving their statements. The Social Worker reportedly informed the Administrator that the resident did not want a copy of the statement, which was contrary to the resident's statement. This discrepancy indicates a failure in the facility's process for managing and distributing resident financial information.
Plan Of Correction
Plan of Correction: Approved March 5, 2025 I. Immediate Corrective Action 1. On 1/28/2025, Resident #142 was provided with an account statement for October, (MONTH) and (MONTH) by the Director of Social Service. II. Identification of Others 1. The Facility respectfully acknowledges that all residents have the potential to be affected by this deficiency. 2. The Director of Social Work reviewed all other residents' accounts. The residents who have funds were provided with a quarterly account statement and/or a copy is sent to the resident representative. 3. No other issues were identified. III. Systemic Changes 1. The Administrator, Medical Director, Director of Social Service, and the Controller reviewed the policy on “Resident Funds Accounts” and found it to be compliant. 2. Social Workers and the Controller will be inserviced on the above policy with emphasis on the resident’s and residents' representative receiving quarterly account statements. 3. A copy of the Lesson Plan and Attendance will be filed for reference and validation. IV. Quarterly Assurance 1. The Director of Social Service developed an Audit tool to ensure compliance with residents and residents' representatives receiving quarterly statements. 2. Audits will be done by the Director of Social Service / Designee on 10 random residents weekly x 4 weeks, 10 random residents monthly x 3 months, and 10 random residents quarterly thereafter. 3. Audits with negative findings will have immediate corrective action taken by the Director of Social Service & reported to the Administrator for review and follow-up. 4. Audit results will be presented to the QA committee by the Director of Social Service quarterly for evaluation and follow-up. V. The Director of Social Service will be responsible for overseeing this corrective action plan by 4/7/2025.