F0568

D

Failure to Maintain Accurate Trust Fund Accounting and Provide Resident Financial Records

Muleshoe, Texas Survey Completed on 02-26-2026

Penalty

No penalty information released

Summary

The deficiency involves the facility’s failure to properly manage and account for residents’ personal funds held in trust accounts. Two cognitively intact residents, a 65-year-old male with dementia, Bell’s palsy, depressive disorders, and Parkinson’s disease, and a 52-year-old female with multiple sclerosis, congestive heart failure, heart failure, and chronic pain, both had trust fund accounts managed by the facility. The facility did not maintain an accurate running ledger for these residents, did not consistently retain or associate receipts with trust fund transactions, and did not provide regular or requested account statements as required by policy.

The male resident reported that in December he requested the Business Office Manager (BOM) to purchase Christmas presents and later requested snacks and multiple cartons of soda, as well as a replacement cell phone after his phone broke. He stated he did not see or sign receipts for these purchases, did not know the cost of the phone, and had not received receipts for purchases in January or February. He also reported that he had only ever received one account statement, in November, and only after specifically asking for it, and that he had not seen any accounting of what was purchased with his funds. The former BOM stated that when she gave money out she had residents sign receipts and claimed she always had residents sign receipts for purchases, but she acknowledged that in the case of the soda purchased by the Activity Director (AD), the resident was not made to sign a receipt and she did not receive a receipt for that purchase.

The female resident stated she had a trust fund account, knew she had money in it, and used it as needed, but had never received an accounting of what was spent or a quarterly statement. The Administrator reported being unaware of any issues with trust fund accounts and noted that shopping duties had been switched from the former AD to the former BOM, though she could not recall when this occurred. The Corporate CEO reported that after the former BOM left, they found several zippered pouches with random $10 bills and little notes, but no receipts other than a few she had provided, and that she and the Administrator could not find further information on trust fund accounts. Record review showed that the facility bank statement for January did not reveal separate purchases for residents with trust funds, and the trust fund records for the male resident in December lacked receipts or itemized purchase information. Receipts that were produced for that resident’s purchases included several phone and snack purchases, some undated or unsigned, with signatures that appeared inconsistent, and these amounts were not listed in the facility’s trust fund paperwork, contrary to the facility’s written policy requiring safeguarding, managing, and accounting for residents’ personal funds and filing copies of all financial transactions in the resident’s permanent record.