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F0568
D

Failure to Provide Quarterly Personal Fund Statements to Residents

Honolulu, Hawaii Survey Completed on 05-15-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to provide quarterly personal fund statements directly to two residents who maintained trust accounts with the facility. Both residents were determined to be their own responsible persons and were cognitively intact or nearly intact, as indicated by their BIMS scores. Despite facility policy requiring quarterly statements to be provided to residents and/or their responsible parties, the statements were only sent to addresses on file, which were not the facility addresses where the residents resided. Interviews with the residents confirmed that they did not receive their statements unless specifically requested, and in one case, the statements were sent to a family member instead of the resident. The Business Office Manager (BOM) confirmed that there was no documentation or tracking system in place to verify that statements were delivered to the residents. The BOM acknowledged that, despite a previous citation for the same issue, there was no evidence that the residents had received their statements as required. As a result, the residents were not made aware of their current account balances and were not given the opportunity to periodically reconcile their accounts, as stipulated by facility policy.

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