Failure to Provide Quarterly Financial Statements to Residents
Penalty
Summary
The facility failed to provide quarterly statements regarding personal funds to residents, as required by 42 CFR Part 483, Subpart B Requirements for Long Term Care Facilities. During an interview conducted on April 29, 2025, three residents reported not receiving these statements. Additionally, no documentation was provided to support that the facility had sent quarterly statements to residents. The Nursing Home Administrator confirmed via telephone on April 30, 2025, that neither the facility nor the corporate offices had sent quarterly statements to any residents during 2024 or 2025.
Plan Of Correction
1. Facility will send retro quarterly statements to residents affected. 2. Resident records that should receive quarterly statements will be audited by NHA or designee to ensure that an updated and accurate list is available of all residents that receive quarterly statements. 3. Re-education will be completed by NHA or BOM regarding distribution of quarterly statements. Statements will be sent to POA via certified mail or if the resident is cognitive and does own finances a quarterly statement receipt will be signed by the resident to document that residents received necessary paperwork. 4. Audits will be conducted monthly x4 by NHA or designee and will be submitted to QAPI for review and analysis of need for ongoing monitoring.