F0567

D

Failure to Maintain Separate Resident Funds and Issue Timely Refunds

Farmington, Missouri Survey Completed on 03-12-2026

Penalty

No penalty information released

Summary

The facility failed to honor residents' rights to manage their financial affairs by not placing resident funds in an account separate from the facility operating account and by not issuing timely refunds of personal funds. Review of the facility’s Accounts Receivable Aging Report showed that six residents had personal funds, totaling $16,926.43, held in the facility’s operating account. Five of these residents had expired and one had been discharged, yet their personal funds remained in the operating account. The amounts held ranged from $18.00 to $6,902.43 for individual residents.

Record review showed that the facility did not provide the Personal Fund Account Balance Report (TPL) to the Missouri HealthNet Division, Third Party Liability Unit or complete the refunds until weeks to months after the residents’ credits were generated, expirations, or discharge. The delays ranged from 49 to 136 days. During interview, the Accounts Receivable Regional Manager attributed the delays to a posting error that created a credit balance, waiting for insurance payment before refunding, repeatedly moving a credit balance forward each month, sending a credit balance to the home office multiple times for review, and simply not processing a refund, with one resident still not refunded at the time of the interview.