Failure to Thoroughly Investigate Alleged Misappropriation of Resident Funds
Penalty
Summary
The facility failed to thoroughly investigate an allegation of misappropriation of a resident’s money and did not ensure required interviews were completed. One cognitively intact resident (BIMS 15/15) reported that $200 was missing after returning from the hospital, while staff had previously observed a $50 bill in the resident’s room the day before. The facility’s investigation included an interview with the resident, a search for the missing money that was not found, contact with law enforcement, and staff interviews. However, the amount of money allegedly missing could not be confirmed beyond the $50 observed by staff, and the resident continued to state that $200 was missing. The facility’s abuse/neglect/exploitation policy required identifying and interviewing all involved persons, including the alleged victim, alleged perpetrator, witnesses, and others who might have knowledge of the allegations, as well as training staff on changes made and demonstrating staff competency after training. During the survey, the Social Services Director stated that resident interviews were conducted through daily “Angel Rounds” and provided a blank Angel Rounds form and a typed list of 26 residents with yes/no responses regarding missing items, with only the involved resident reporting missing money. Other interviewed residents did not recall being interviewed about missing items or money. A CNA familiar with the incident reported not remembering any staff education or training related to misappropriation after the money was reported missing. The surveyor determined the facility did not complete a thorough investigation due to lack of evidence of resident interviews and lack of timely staff training on misappropriation.
