Failure to Timely Report Alleged Misappropriation of Resident Property
Penalty
Summary
The facility failed to timely report an allegation of misappropriation of resident property to the State Survey Agency as required. Money went missing from a resident's room on 12/29/25, but the incident was not reported to the state until 01/05/26. Interview with the ADM revealed she was on vacation when the money went missing and only became aware of the incident upon her return on 01/05/26, at which time she reported it and initiated an investigation. Record review confirmed that the incident date was documented as 12/29/25 and the report to the state was made on 01/05/26 at 8:12 p.m., exceeding the 24-hour reporting requirement for allegations that do not involve abuse or result in serious bodily injury. During interview, the ADM stated that in her absence the DON was responsible for reporting incidents to the State Agency and that the DON knew how to complete such reports. The DON acknowledged that it was both her and the ADM's responsibility to report incidents of abuse, neglect, or misappropriation and admitted she did not report the missing money on the day it was discovered. She stated she should have reported the incident but was hoping the money would be found. Facility policies on Abuse, Neglect, Exploitation and Misappropriation, including the September 2022 policy defining "immediately" as within 24 hours for non-abuse, non–serious bodily injury allegations, required that all such reports be made to local, state, and federal agencies within regulatory timeframes, which did not occur in this case.
