Failure to Report Allegations of Misappropriation of Resident Property
Penalty
Summary
The facility failed to report all allegations of misappropriation of residents' personal property to the state surveying agency as required by its Abuse Prevention Policy. One resident, R74, reported that his own cigarettes and vape cartridges had gone missing and also admitted to picking up smoking materials, including cigarettes and vape cartridges, that did not belong to him. His care plan, initiated on 12/16/25, documented behavioral problems related to misappropriation of others' property, including vapes, lighters, and smoking materials. Staff interviews revealed that there had been ongoing allegations for over six months that R74 was taking other residents' cigarettes and vape cartridges. Multiple staff, including CNAs and a Psychiatric Rehabilitation Services Assistant, stated they had direct knowledge of these incidents and had reported them to the Administrator. The Administrator (V1) acknowledged there had been allegations of R74 taking other residents' cigarettes and vape cartridges, including from R81, but stated she did not report these allegations to the state surveying agency based on guidance from regional corporate staff that if items were retrieved at the same time they were taken, it was not considered theft. Former and current staff reported that they were told by the Administrator that if R74 did not consume all the cigarettes or fully use the vape cartridges, it was not considered theft and did not need to be replaced or reported. Resident R81 stated that her vape cartridges had been taken by R74 on at least four occasions, that she had reported the missing items to staff, and that her vape cartridges were missing for periods ranging from one day to a couple of days before staff found them in R74's possession. Staff confirmed that vape cartridges were missing for periods ranging from eight hours to a couple of days. Despite multiple incidents and reports, only a single report to the state surveying agency dated 12/10/25 regarding R74 stealing vape cartridges was provided, demonstrating that not all allegations of misappropriation were reported as required by facility policy.
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