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F0602
D

Misappropriation of Resident Funds by Facility Employee

Middle Island, New York Survey Completed on 08-13-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

A deficiency was identified when a facility employee, specifically a Certified Nurse's Aide, obtained 16 checks from a resident and cashed them for various amounts, totaling between $27,000 and $40,000. The resident, who had diagnoses including heart failure, circulatory problems, and anxiety, was assessed as having moderately impaired cognitive skills for decision making. The facility's admission packet, signed by the resident, explicitly stated that employees are not permitted to request or accept any form of remuneration, tip, or gratuity from residents. Facility policy also defined misappropriation of resident property as theft or unauthorized use of personal property, including money. Despite these policies, the aide received and cashed checks from the resident, with the aide's name appearing on the checks and the resident's signature present. The situation came to light when the resident's next of kin reviewed the resident's funds and reported the findings to facility administration, providing copies of the checks as evidence. Interviews with facility staff confirmed that employees are trained not to accept money or valuables from residents, and the aide admitted to receiving the checks. The resident acknowledged voluntarily giving the money to the aide, reportedly due to personal feelings. Documentation also indicated that the resident was considered at risk for abuse and victimization, with care plan interventions instructing staff to report any suspected abuse. The facility's investigation concluded there was reasonable cause to believe that abuse, neglect, or mistreatment had occurred.

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