Failure to Document and Return Resident's Personal Belongings at Discharge
Penalty
Summary
The facility failed to maintain a complete and accurate record of a resident's personal possessions upon both admission and discharge. Specifically, for one resident, the inventory list documenting personal belongings at admission and discharge did not include a signature from either the resident or a responsible party. Additionally, there was no documentation in the resident's discharge information indicating that the belongings were returned to the resident upon discharge. An electronic observation detail report showed that the resident arrived with four belongings, but the facility was unable to provide further documentation confirming the release of these items at discharge. During an interview, the Director of Nursing confirmed that no additional records could be produced to verify the return of the resident's possessions.
Plan Of Correction
Resident #94 received all of his personal belongings upon discharge. To identify like residents that have the potential to be affected, the DON/designee completed a 2-week audit of new admissions to ensure that personal inventory sheets were completed upon admission and discharge of the residents. To prevent this from recurring, the DON/designee educated the nursing staff on the completion of the personal inventory sheet upon admission and discharge of the resident. To monitor and maintain ongoing compliance, the DON/designee will audit personal inventory sheets of new admissions and discharges weekly for 4 weeks, then monthly for 2 months, to ensure they are being completed and signed per the policy. Results will be reported to QAPI for recommendations and follow-up.