A resident with intact cognition and medical conditions including DM2 and rheumatoid arthritis reported, along with their responsible party, that cash and gift cards were missing from the resident’s walker. An agency CNA admitted to taking the money and gift cards. Facility policy requires training and procedures to prevent abuse, neglect, and misappropriation, but the ED reported that while background checks and credential verifications are done for agency staff, the facility does not provide or require documentation of abuse, neglect, and misappropriation training for agency personnel and continues to use agency staff without such training documentation.
A resident with intact cognition and control of personal finances was found to have been exploited by a CNA who used the resident’s debit card, received cash, linked PayPal accounts, and used the resident’s cell phone. The resident said the card was given to the CNA for food ordering, but later admitted the CNA kept the card and made additional purchases. The facility’s investigation confirmed the CNA admitted to taking money and using the resident’s accounts, while staff education on abuse and misappropriation was incomplete.
Failure to investigate a missing resident necklace: The facility did not properly follow up on a grievance about a gold necklace that was reported missing, and there was no documented investigation or resolution. Interviews showed the grievance process was not completed while Social Services was on leave, and the NHA acknowledged the complaint was not followed up on.
A resident’s family reported multiple missing personal items, including a cell phone, wallet with cash, shoes, grabbers, and a box containing keys. The facility’s policies required prompt reporting of misappropriation to appropriate agencies and a thorough investigation with interviews of the resident, reporter, witnesses, and involved staff. However, the facility did not report the allegation to the State Agency, delayed starting its investigation, and ultimately produced only a single grievance form documenting limited room and laundry searches and no detailed investigative steps, while the missing property was never located.
Multiple cognitively intact residents with conditions such as heart disease, morbid obesity, chronic kidney disease, and prior stroke reported that cash amounts ranging from about $50 to $75 went missing from their wallets and rooms, and each identified a CNA as the suspected individual. These residents described incidents occurring over weeks to months, including one resident awakening to find the CNA taking money from her wallet. Review of the EMR and progress notes for each resident over extended periods showed no documentation of their allegations, despite an abuse prevention policy that defines misappropriation of resident property and states residents have the right to be free from abuse and misappropriation, with ongoing oversight and supervision of staff to ensure policies are implemented.
A cognitively intact resident with multiple chronic conditions reported that personal AirPods, believed to have been left in her room before a hospitalization, were missing. Facility staff used the resident’s iPhone link to track the device and found the AirPods in the possession of an LPN. The facility’s abuse prevention policy defined such conduct as misappropriation of resident property, and the incident was substantiated as staff misappropriation of a resident’s belongings.
A resident with hemiplegia and intact cognition reported her antenna was stolen from outside her room while she was napping. Another resident witnessed a staff member cut the wires and take the antenna. The incident was reported to the Administrator, but the antenna was not replaced and the investigation was incomplete. The facility failed to report the misappropriation to the state as required by policy.
Multiple residents experienced misappropriation of their funds when payments intended for their care were deposited into an unauthorized account controlled solely by a business office manager, who used the funds for personal expenses. Families and residents reported ongoing issues with missing payments, unexplained billing, and inability to access their money, while facility staff failed to promptly investigate or report these concerns, leaving residents at risk of financial exploitation.
Misappropriation of a resident's cell phone occurred when a housekeeper entered the resident's room while the resident was hospitalized and took the phone without consent. The resident had chronic respiratory failure, DM2, a tracheostomy, encephalopathy, and moderately impaired cognition with a BIMS score of 12. Family later reported the phone missing, records showed the phone number was still in use, and surveillance linked the housekeeper to the room access and the phone account being logged out.
Thirteen residents experienced misappropriation of their trust funds when a staff member manipulated account transactions for personal gain. The staff member concealed unauthorized withdrawals, making them appear legitimate and bypassing existing oversight procedures. Despite the discrepancies, residents did not report issues accessing their funds, and no negative outcomes were reported during interviews.
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