Failure to Complete and Share Signed Personal Effects Inventory
Penalty
Summary
The facility failed to ensure that a personal effects inventory was properly completed, signed, and shared for one resident. The resident, who had diagnoses including a left femur fracture, Parkinson’s disease, and dysphagia, was documented in the History and Physical as lacking capacity to understand and make decisions, and the MDS showed severely impaired cognitive skills and total dependence on staff for several ADLs. On review of the resident’s Personal Effects Inventory Form dated 10/23/2025, the form was found not to be signed by the resident or a resident representative, nor by facility staff at the time of admission. The resident’s representative was not provided a copy of the initial admission inventory form. RN 1 stated that the Personal Effects Inventory Form should be completed upon admission, readmission, and as needed, and acknowledged that it had never been the facility’s practice to inform and provide a copy of the inventory to the resident’s representative for items brought from the hospital. RN 1 also stated that the inventory form is part of the medical record and should be completed accurately for transparency and continuity of care. The Social Service Director stated it is important to properly document and sign the Personal Effects Inventory Form for items brought for safekeeping. The DON stated that facility staff and the resident representative should sign the form and that a copy should be provided to the representative, and that not completing and signing the form creates a risk for missing or lost personal items and incomplete medical records. The facility’s policies titled “Personal Property” and “Completion and Correction” required that the personal property inventory form be signed, placed in the medical record, and a copy provided to the resident or representative, and that medical records be complete and accurate, which was not followed in this case.
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