F0602

D

Misappropriation of Resident Funds by Housekeeping Staff

San Antonio, Texas Survey Completed on 01-16-2026

Penalty

No penalty information released

Summary

The deficiency involves the facility’s failure to protect a resident from misappropriation of property and to uphold its own policy prohibiting staff from accepting gratuities, gifts, or loans from residents. The facility’s undated Freedom from Abuse Notice and related policy clearly state that staff are not to accept any form of currency, items of monetary value, or services from residents or their representatives. Despite having received and signed training on this policy on 8/24/2025, a housekeeper (HK F) acknowledged taking a resident’s debit card and using the resident’s money to purchase fast food for herself and the resident. The resident, a male admitted for LTC with COPD and ADL support needs, had a BIMS score of 12 indicating moderate cognitive impairment, adequate hearing, impaired vision with glasses, and was usually able to understand and make himself understood.

The resident’s care plan documented a mood problem related to depression and noted a risk for harm to self, including risky actions such as giving away possessions. During interviews, HK F stated that since meeting the resident in August 2025, he had asked her to buy fast food for both of them, and she admitted using his money for these purchases. The resident, however, reported being upset with HK F, stating she stole $40 in cash and went through his wallet, and denied giving her his debit card or money to buy food, though he acknowledged purchasing small cigarettes from her with cash. The resident showed his wallet containing a debit card and about $50 in cash and reported that HK F had stolen $40. The administrator confirmed that HK F admitted using the resident’s money to purchase food for herself and the resident, and that this conduct violated the facility’s policy on misappropriation of resident property.