Failure to Investigate and Resolve Resident Grievance Regarding Missing Money
Penalty
Summary
The facility failed to initiate, investigate, and resolve a grievance submitted by a cognitively intact resident who was admitted with diagnoses including post-traumatic stress disorder and hypertension. The resident reported missing $80.00 from their funds after a canceled store trip, and a grievance was filed regarding the missing money. The grievance form documented the resident's account of the incident but contained no evidence of investigation, follow-up, or resolution. Interviews with the resident confirmed that the money remained missing and that there was no follow-up from the facility. Staff interviews revealed that grievances related to misappropriation were managed by Social Services, but the grievance in question had no documented follow-up or resolution. The facility administrator acknowledged that the grievance was not completed, attributing the lapse to a period when there was no social worker on staff, resulting in the grievance being overlooked.