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F0602
D

Misappropriation of Resident Funds by Facility Staff at Casino

Town And Country, Missouri Survey Completed on 03-04-2026

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 misappropriation of a resident’s personal funds by facility staff. Record review of the resident’s personal bank statement for November 2025 showed multiple withdrawals using the resident’s debit card at River City Casino, totaling $1,927.00, with individual withdrawals of $1,009.00, $709.00, and $209.00. A transactions report from the bank, obtained by the Town and Country Police Department, documented ATM withdrawals and attempted withdrawals at the casino using the resident’s debit card, including a transaction that exceeded the card limit. Still photos and video from the casino, provided to the police, showed the Housekeeping Supervisor and a CNA entering the casino, walking to a car, and later driving away around the time of the fraudulent ATM transactions. Police investigative reports and interviews further linked the staff members to the use of the resident’s debit card. In a police interview, the CNA confirmed that the driver’s license photo used at the casino blackjack table was his/hers and acknowledged being at the casino with the Housekeeping Supervisor. The CNA stated that the Housekeeping Supervisor asked him/her to retrieve a Capital One card from the car and withdraw $1,000, and that the Housekeeping Supervisor later went to the ATM and withdrew more money. The CNA reported that the Housekeeping Supervisor became stressed afterward and said he/she needed to put money back into his/her mother’s account, and that the Housekeeping Supervisor provided the PIN for the card to the CNA. The CNA identified both him/herself and the Housekeeping Supervisor in the still photos from the casino video footage. In contrast, during an internal interview with the Administrator, the Housekeeping Supervisor denied taking money out of the ATM or seeing the CNA take money out, despite the external evidence placing both staff at the casino during the time of the unauthorized withdrawals from the resident’s account.

See complete original report
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