Failure to Notify Resident of Trust Account Approaching SSI Resource Limit
Penalty
Summary
The deficiency involves the facility’s failure to notify a resident or responsible party when the resident’s personal trust account balance came within $200 of the $2,000 Supplemental Security Income (SSI) resource limit. The resident, admitted in 08/2022, had diagnoses including hemiplegia and hemiparesis following cerebral infarction affecting the left non-dominant side and required assistance with personal care. Review of the resident’s personal trust fund statements showed a balance of $7,871.13 on 07/01/2025, $5,469.30 on 11/04/2025, $6,264.65 on 12/04/2025, and $6,216.12 on 01/02/2025, with monthly deposits of $964.00 from 07/2025 through the survey date. The Business Office Manager (BOM) stated the resident was receiving a Social Security payment of $964.00 and acknowledged that the patient liability (room and board charge) was wrong. A Notice of Case Action from the Department of Children and Families dated 02/11/2025 documented that the resident had Medicaid eligibility with a $0.00 patient liability for 12/2024, 01/2025, 02/2025, and 03/2025 ongoing. Despite this, when surveyors requested evidence on 01/05/2026 that the resident or resident representative had been notified that the resident’s assets were within $200 of the $2,000 limit, no documentation was provided. When asked the same day for a policy and procedure for notifying residents when their assets are within $200 of the $2,000 asset limit, the BOM was unable to provide any such document. These findings show that the facility did not provide required notification or have documented procedures for this notification requirement.
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