F0584

D

Failure to Account for Resident Belongings at Discharge

Lynwood, California Survey Completed on 01-13-2026

Penalty

No penalty information released

Summary

The facility failed to protect a resident’s personal property by not completing and updating the resident’s belongings inventory at discharge and not accounting for missing clothing. The resident was admitted with diagnoses including diabetes mellitus, hypertension, and chronic kidney disease, and had fluctuating capacity to understand and make decisions per the History and Physical, while the MDS indicated no cognitive impairment and a need for partial to moderate assistance with ADLs. On admission, the Clothing and Possessions Inventory List documented two shirts, one pair of slippers, and one pair of pants, but there was no documentation that these belongings were accounted for or reconciled at the time of discharge. Progress notes from the discharge date did not describe what personal belongings were provided to the resident or family.

The resident’s family member reported that the resident’s shirts and pants were lost at the facility and stated that Social Services had been informed and had said they would look for the missing clothes, but the items were not returned. The Social Services Director stated she was not aware of the lost belongings and did not know if the resident’s belongings were given to the resident or family at discharge. The DON confirmed that the inventory list should be completed on admission, readmission, and discharge, and acknowledged that the resident’s discharge inventory list was not completed, contrary to facility protocol and the Personal Property policy. The RN who completed the discharge instructions stated that she gave belongings to the resident and family but could not recall which items were given and could not remember completing the discharge inventory list, acknowledging that failure to complete the list prevents the facility from accounting for what belongings were provided at discharge.