Health inspection·July 3, 2024

F 0567 Honor the resident's right to manage his or her financial affairs. Level of Harm - Minimal harm or potential for actual harm Based on interview and record review, the facility failed to safeguard and account for resident monies held in the resident trust fund cash box. This failure affects 19 residents (R2, R3, R5, R6, R8, R9, R10, R12, R13, R14, R16, R17, R19, R20, R21, R22, R23, R24, and R25) out of 25 reviewed for resident funds on the sample list of 25. Residents Affected - Some Findings include: On 7/2/24 at 9:45 AM, V1, Administrator, stated, (V3) was the Business Office Manager but no longer works here because (V3) wasn't handling the resident trust fund cash according to facility policy. V1 further stated, (V3) was the person who discovered the discrepancy with the funds. The facility's Investigative Final Report dated 6/24/24 documents, On 6/16/24 the BOM (Business Office Manager, V3) noted the trust fund cash on hand was not correct and found the missing amount to be $489.82. The facility's Individual Resident Fund Ledgers document R2, R3, R5, R6, R8, R9, R10, R12, R13, R14, R16, R17, R19, R20, R21, R22, R23, R24, and R25 all have resident trust fund accounts held and managed by the facility. The facility's Resident Roster dated 7/2/24, confirmed by V1, Administrator, documents R2, R3, R5, R6, R8, R9, R10, R12, R13, R14, R16, R17, R19, R20, R21, R22, R23, R24, and R25 reside on the skilled nursing certified part of the facility. On 7/3/24 at 9:15 AM, V1, Administrator, confirmed, (V3) was terminated due to not handling the resident funds according to our facility policy. V1 then clarified, (V3) should not have been handling the cash because (V3) is the person who was doing the reconciliations of the funds. V1 continued, The way it is supposed to go is the Activity Designee (V13) will get a list of desired items from the residents that they want to purchase. Then (V13) will come to (V3) to get the funds from the cash box and have the residents sign for their withdrawals. Then when (V13) comes back from the shopping trip, (V13) will have the residents sign the receipt and sign for the amount of change there is from the shopping. Then (V13) returns the change to (V3) with all the documentation and (V3) was supposed to put the change back into the bank as a deposit. V1 further stated, So (V3) was gathering the money for the shopping trip and handling the money during the shopping trip, then (V3) wasn't having the residents sign for the change they received, and then (V3) was just putting the change back into the cash box. V1 concluded by stating, (V3) was doing things we aren't supposed to be doing just to prevent something like this from happening. The Facility Resident Trust Fund Policy dated 9/2012 documents, The individual responsible for the (continued on next page) Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE FORM CMS-2567 (02/99) Previous Versions Obsolete Facility ID: If continuation sheet Page 1 of 3 Event ID: 145842 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 145842 B. Wing A. Building (X3) DATE SURVEY COMPLETED 07/03/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Flanagan Rehabilitation & Hcc 201 East Falcon Highway Flanagan, IL 61740 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)