Failure to Promptly Investigate and Compensate for Resident’s Missing Belongings
Penalty
Summary
The facility failed to protect a resident from the wrongful use or loss of personal belongings by not promptly investigating and addressing reported missing items. A resident with an admission diagnosis that included adjustment disorder with anxiety was reported by her son on 12/19/25 to have missing clothing items, including five pairs of sweatpants, some shirts, and a blue jacket. A social services progress note documented the son's call and indicated that the Social Services Director would follow up with the resident. However, no theft and loss investigation was initiated at that time, and the facility did not conduct a timely search or complete required theft and loss reporting. On 2/11/26, during an interview, the Administrator in Training acknowledged that when the missing items were reported, staff should have searched the facility and, if the items were not found, completed a theft and loss report to begin the investigation process, but confirmed this process was not initiated until that date. A roommate stated that the resident's clothes were lost and the facility could not find them. The Dialysis Social Worker reported that the resident's family said the resident was so upset about her missing clothes that she wanted to call the police, and that the facility had told the family they would reimburse the resident $200, but reimbursement had not been provided. Facility policies on investigating incidents of theft and loss and on dignity required prompt and thorough investigation of theft or misappropriation of resident property, protection from theft and loss, and respect for residents' property and private space at all times, which were not followed in this case.
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