Failure to Resolve Grievance Regarding Missing Personal Clothing
Penalty
Summary
Facility staff failed to honor a resident’s right to voice grievances without discrimination or reprisal by not appropriately responding to and resolving a grievance related to missing clothing. A resident’s clinical record, including progress notes and care plan, contained no documentation of a request for the resident’s family to provide clothing. The resident reported receiving some new clothes a few months prior but could not recall details and stated his memory was not perfect. Attempts to reach the resident’s family, who was the designated representative, were initially unsuccessful. Subsequently, the facility produced a grievance filed by the resident’s family member, dated 9/26/25, stating that clothes sent to the facility and left at the front desk were never received by the resident. The grievance investigation summary documented that the facility searched but was unable to locate the clothing and that the resident’s sister would be reimbursed $119.34 for the missing items. Attached documentation included a delivery receipt to the facility and a purchase receipt for the clothes. However, during a later phone call, the family member reported never receiving the reimbursement, and the administrator confirmed that the reimbursement was still pending approval with the business office, demonstrating that the grievance had not been fully resolved.
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