Failure to Maintain Resident Personal Funds Accounting
Penalty
Summary
The facility failed to maintain separate accounting and records for a resident's personal funds that were entrusted to the facility. According to the facility's policy, the business office manager was responsible for keeping detailed accounting records for each resident's personal needs account, including the date of admission, all deposits and withdrawals, the names of individuals involved in transactions, and receipts for charges and interest earned. However, for one resident who was admitted after a hospital stay for a cerebral vascular accident, right arm weakness, and atrial fibrillation, and who was cognitively intact, there was no documentation available to show that a personal funds account was established or maintained in accordance with generally accepted accounting principles. Interviews with the administrator and business office manager confirmed that the facility had no records of accounting or financial transactions for this resident's funds, despite having accepted responsibility for managing the resident's financial affairs. Additionally, both staff members were unaware of what insurances, pensions, or private pay funds were scheduled to be deposited into the resident's account to pay for their stay. This lack of documentation and awareness was identified through interviews, review of clinical records, and examination of the facility's policies and procedures.