Failure to Notify Ombudsman and Document Return of Personal Property
Penalty
Summary
The facility failed to follow required procedures for ombudsman notification and documentation of personal property return for residents upon discharge or death. Specifically, for one resident with a diagnosis of pulmonary embolism, there was no evidence that the ombudsman was notified as required. This was confirmed through interview with the Director of Nursing, who acknowledged that no notification had been sent. Additionally, for two other residents, the facility did not document the return of personal belongings after discharge or death. Both residents had lists of personal items recorded upon admission, but their closed clinical records lacked documentation showing that these items were returned to the appropriate parties. The Director of Nursing confirmed the absence of such documentation when presented with these findings.