Failure to Protect Residents' Property and Funds
Penalty
Summary
The facility failed to protect residents' property from loss in two separate incidents. In the first case, a resident's controlled pain medication, Oxycodone IR 5mg, was reported missing from the medication cart. The medication was received and signed for by an LPN, then handed off to other LPNs during shift changes. During these transitions, required counts of controlled medications were not performed, and the medication cart keys were exchanged without proper verification. The missing medication and its corresponding documentation were discovered the following morning when a nurse attempted to administer the medication and found it absent. In the second incident, a resident reported giving personal bank cards to a GNA to withdraw cash from an ATM. After returning the money and cards, the GNA requested and received a loan of $260 from the resident, with a verbal agreement to repay it. The GNA subsequently avoided contact and did not return the money as agreed. The incident was confirmed by facility staff during interviews.