Failure to Provide Accurate Quarterly Resident Trust Fund Statements
Penalty
Summary
The facility failed to provide accurate quarterly statements for residents’ personal trust fund accounts and did not issue any quarterly statements at all to several residents with Individual Resident Fund accounts. One resident with intact cognition, diagnosed with Parkinson’s disease, dementia, hypertensive heart disease, anemia, dysphagia, cognitive communication deficit, osteoarthritis of the hip, scoliosis, insomnia, benign prostatic hyperplasia, major depressive disorder, and blepharospasm, reported not receiving trust fund money for the last two weeks and stated he was denied access to the full $200 reflected on his Resident Trust Sheet, being told he could only receive $30. He also reported never receiving a quarterly statement during his stay. Other cognitively intact residents reported that they regularly received $30 from their trust fund but had never received quarterly statements, and one resident stated he had requested an audit of his account but was not provided with a statement and wanted to receive it regularly. Another resident with moderately impaired cognition similarly reported never receiving a quarterly statement of the trust fund account. The Business Office Manager confirmed that quarterly statements were not being provided to residents and explained that residents only saw their balance when they received weekly trust fund money. The Business Office Manager further acknowledged that the balances on the Resident Trust Fund Sheets were inaccurate because they did not include deposits or credits and did not match the balances reflected on the RFMS statements. The Business Office Manager stated that quarterly statements had not been provided since 2023. Facility policy on Resident Personal Trust Fund, dated 4/15/2024, requires that a quarterly statement of all transactions, including withdrawals, direct charges, deposits, and interest, be prepared and provided to the resident or legal representative. A CMS Form 671 documented that 111 residents resided in the facility at the time of the survey, indicating the potential for this deficiency to affect all residents with trust fund accounts.
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