Failure to Document Disposition of Resident Personal Belongings at Discharge
Penalty
Summary
A deficiency was identified when, upon review of closed clinical records and staff interviews, it was found that the facility failed to document the disposition of personal belongings for two out of three discharged residents. Specifically, there was no evidence indicating what personal items were brought in by the residents at admission, nor was there documentation accounting for these belongings at the time of discharge. The Director of Nursing confirmed that there was no record of the personal property for these residents upon their discharge.
Plan Of Correction
A search of the storage areas in which resident belongings are secured until picked up by family members was conducted, and there was no evidence of any belongings of identified residents #82 or 83. The facility has implemented a new inventory of personal effects forms that will be completed by the nursing department upon admission. Education was provided to clinical staff on the proper documentation of the personal properties/belongings of newly admitted residents. Included in the education is the process for logging and updating the form as additional items are provided to the residents. An explanation of the appropriate actions to take upon discharge or death will be included in the education. Audits of newly admitted residents' inventory sheets will be completed on a weekly basis for one month and bi-weekly for three months. Findings will be presented to the Quality Assurance Performance Improvement committee for recommendations, including an explanation of any identified variance infractions. P 1210