Failure to Safeguard Resident's Personal Belongings
Penalty
Summary
A deficiency was identified when the facility failed to safeguard a resident's personal belongings, specifically the resident's shoes. The resident, who had diagnoses including dementia, depression, and schizophrenia, was admitted and later readmitted to the facility. Upon admission, the resident's inventory of personal effects included one pair of shoes, but a subsequent inventory did not list any shoes. Staff interviews confirmed that the resident had shoes earlier in the month, but they could not be located during a later search of the resident's room. The resident expressed being upset about the loss of the shoes and not having any to wear. The facility's Director of Nursing (DON) acknowledged the missing shoes and suggested they may have been left at the hospital, but no one had been informed. The facility's policy required that personal belongings be inventoried and documented upon admission and updated as necessary. Despite this policy, the resident's shoes were not accounted for, and the loss was not promptly addressed, resulting in the resident's distress.
Plan Of Correction
How corrective actions will be accomplished for those residents found to have been affected by the deficient practice: On 5/19/25, the resident #1 shoes were immediately replaced. Resident expressed satisfaction and contentment with the replacement. F 557