Failure to Notify Resident of Exceeding SSI Resource Limit
Penalty
Summary
The facility failed to notify a resident when their personal fund account balance reached or exceeded $200 less than the Supplemental Security Income (SSI) resource limit, as required by state and federal regulations. Record review showed that the resident's account consistently exceeded the $2,500 SSI resource limit from January through June, with monthly balances ranging from $3,604.10 to $5,784.29. Interviews with the Regional Business Office Manager and the Administrator confirmed that the resident was not notified of exceeding the SSI resource limit during this period. The facility's own policy requires monthly notification and documentation when a resident's account approaches the Medicaid eligibility threshold, but this was not followed for the resident in question.