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F0610
D

Failure to Fully Investigate Resident Theft Allegation

Bozeman, Montana Survey Completed on 06-05-2025

Penalty

Fine: $85,250
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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 fully investigate an allegation of theft involving a resident who reported several hundred dollars missing from her purse. The resident, who had difficulty with mobility and speech, stated that she informed facility management of the missing money and was partially reimbursed, but was not told if the perpetrator was identified. Staff interviews revealed that the theft was reported to administration, and local law enforcement was notified. However, the facility did not conduct interviews with potential witnesses or other residents who may have been affected, nor did they attempt to determine if there was a pattern of missing items. The investigation was limited to the initial report, and no further steps were taken to identify the responsible party or assess the impact on other residents. Documentation showed inconsistencies in the reported amount stolen, with staff noting the resident initially reported $200 missing, later stating $300. The resident's purse was typically left unzipped due to her physical limitations, and staff acknowledged that many individuals could have accessed her room during the relevant period. Despite these factors, the facility's response was limited to partial reimbursement and advising the resident's family to provide a lockbox, without a comprehensive investigation or review of other possible victims.

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