Failure to Update Care Plan After Resident Financial Exploitation
Penalty
Summary
The facility failed to update a resident's care plan after being notified of unauthorized use of the resident's credit card by a nurse aide. The resident, admitted for short-term rehabilitation with diagnoses including diabetes, anxiety, and heart failure, was assessed as having no cognitive impairment and required assistance with personal care. Despite the facility being informed by the State Police of suspected exploitation involving significant fraudulent charges to the resident's credit card by a staff member, there was no documentation that the resident's care plan was revised to address the incident or provide interventions related to the event. Facility records, including the Reportable Event Form and interviews with the Director of Nursing Services (DNS) and Administrator, confirmed that while the resident was monitored, the care plan was not specifically updated to reflect the incident. The facility's own policies required documentation of investigation and follow-up in the clinical record for residents involved in such events, as well as the development of a comprehensive care plan addressing identified psychosocial needs. However, no evidence was found that the care plan was amended to support the resident following the financial exploitation incident.