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F0609
D

Failure to Timely Report Allegation of Misappropriation of Resident Property

South Milwaukee, Wisconsin Survey Completed on 02-18-2026

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The deficiency involves the facility’s failure to timely report a reasonable suspicion of a crime, specifically an allegation of misappropriation of a resident’s property, to the State Survey Agency as required by Section 1150B of the Act and the facility’s own Abuse, Neglect, and Exploitation policy. The policy, effective 5/22/25, identifies resident reports of theft or missing property as possible indicators of abuse that require action. The resident involved had Alzheimer’s disease, delirium, and stage 3B chronic kidney disease, and was documented on the Admission/Medicare 5-day MDS as rarely/never understood and rarely/never understanding others, with behavioral symptoms occurring 1–3 days in the look-back period. On 12/2/25, the resident’s wife called the facility and reported that the resident’s wedding ring was missing; staff documented this on a Resident/Family Concern/Grievance Report form, and the ring was not found among the resident’s belongings. On 12/3/25, the resident’s wife went to the South Milwaukee Police Department and reported that she had contacted the facility and spoken with the Admissions Director, who confirmed they did not have the ring. She stated she last saw the ring on the resident’s finger on November 30 and described it as a white gold men’s wedding ring with diamonds. Despite this report to the facility and the subsequent police report, the allegation of misappropriation was not reported to the State Survey Agency until 12/9/25, outside the required timeframe. During an interview on 2/17/26, the Nursing Home Administrator stated that the wife never indicated the ring was stolen, only misplaced, and therefore the incident was not reported as misappropriation. The surveyor informed the administrator that the missing wedding ring constituted an allegation of misappropriation that should have been reported on 12/2/25, and later informed the DON of the concern regarding the delayed reporting. No additional information was provided regarding the delay in reporting the allegation to the State Survey Agency.

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