F0609

D

Failure to Report Alleged Misappropriation of Resident Property to State Agency

Jefferson City, Missouri Survey Completed on 03-26-2026

Penalty

No penalty information released

Summary

Facility staff failed to timely report an allegation of misappropriation of property to the state agency (DHSS) within the required 24-hour timeframe. The facility’s Abuse and Neglect Reporting Instructions policy directed staff to immediately report events of abuse, no later than one hour after the event, so the Administrator or designee could report abuse to the DHSS/Abuse Hotline within two hours, but the policy did not address reporting misappropriation of property within 24 hours. The facility census was 51.1.

Record review showed a cognitively intact resident, admitted on a specified date, had a quarterly MDS completed on a specified date. The grievance log documented that on 01/16/26 the resident reported a missing tablet and staff noted they were searching for it. In an interview on 03/27/26, the resident stated the tablet was missing and that they had reported this to an unknown staff member. In a subsequent interview on 03/31/26, the Administrator stated staff were instructed to report missing items to the Social Service Director or to the Administrator, and acknowledged not knowing that missing items were required to be reported to DHSS, explaining that staff typically locate missing items and therefore reporting to DHSS had not been considered.