Failure to Investigate Alleged Misappropriation of Resident Funds
Penalty
Summary
The facility failed to thoroughly investigate an allegation of misappropriation involving a resident with mild cognitive impairment, congestive heart failure, and type 2 diabetes. The resident's current guardian reported concerns that a previous guardian, who was also a facility staff member, may have financially exploited the resident. Although the facility's policy requires immediate investigation and reporting of such allegations, there was no evidence that an internal investigation was conducted or that the incident was reported to the State Agency. Interviews with the resident's guardian, facility staff, and the Nursing Home Administrator confirmed that the facility was aware of the allegation, and documentation showed that restrictions were placed on the previous guardian's access to the resident due to concerns about money. However, the Nursing Home Administrator stated that no investigation was initiated because they were unaware of the specific allegation, despite progress notes indicating staff awareness. Further review revealed that the Business Office Manager and former Nursing Home Administrator both acknowledged that an investigation should have occurred if misappropriation was suspected. Communications between the facility, Adult Protective Services, and the resident's guardian confirmed that the issue was discussed and that external agencies were involved. Despite this, the facility did not follow its own policy to conduct an immediate internal investigation or report the allegation, resulting in a deficiency related to the facility's response to alleged violations.