Health inspection·November 17, 2023

F 0600 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review, the facility failed to ensure two residents (R1 and R2) were free from theft from their personal trust fund accounts by staff. This failure applied to two of two (R1, R2) residents reviewed for abuse. Findings include: R1 is an [AGE] year-old male who originally admitted to the facility on [DATE] and currently resides in the facility. R2 was an [AGE] year-old male who originally admitted to the facility on [DATE], was sent to the hospital on [DATE] and later expired. Per facility reported incident dated [DATE] states in part but not limited to the following: On [DATE] a monthly routine trust fund audit was completed and there were discrepancies and concerns found regarding trust activity in R1 and R2's account. The facility determined that there were fraudulent checks written from R1 and R2's trust account. Police Incident Report dated [DATE] shows that police were called to facility for a report due to deceptive practice and fraudulent checks. Upon arrival, we were met by V1 (Administrator) who had advised us that two unauthorized checks for large sums were written and cashed from the trust fund accounts of R1 and R2. V1 had reported that only two staff members have access and were authorized to write checks from these accounts, V1 and V3 (Previous Business Office Manager Consultant). V1 advised me that someone had to [NAME] his signature on the checks to get these checks to be authorized. Copies of checks and Police Incident Report shows that a check for $3,600 from R1's account was written and cashed to an unknown name through a mobile deposit. It also shows that a check for $2,770.90 was written on [DATE] from R2's account and cashed to an unknown name on [DATE] through a currency exchange. On [DATE] at 11:32, V1 was interviewed regarding incident on [DATE]. V1 said on [DATE], I was auditing the resident trust fund sheet and I noticed a discrepancy. There were two withdrawals from R1 and R2's account and they are unable to make these withdrawals themselves. R2 expired in January of 2023 and R1 has a guardian/POA that did not make this request. The person that was handling the trust funds was V3 who was a consultant at the time. I attempted to call V3 however she refused to speak with me, ended up resigning, and not working with the facility anymore. I have never been able to speak with her about this incident. I did call the police the day of the incident which have an active investigation at this time. Page 1 of 2 146078 146078 11/17/2023 Ahva Care of Stickney 3900 South Oak Park Avenue Stickney, IL 60402

F 0600 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few V1 said we are responsible for the resident's trust funds. V3 was responsible for making out checks for the residents when requested in the past. I do an audit on the trust funds every month, but we do not have a system in place that requires documentation. This is just something that I do. V1 said when a consultant is hired or starts working within our facility, they are trained on our policies and procedures regarding abuse. However, there is no documentation where they sign off on this like our staff do. It is to be noted that V1 was asked for any documentation that V3 was trained on their abuse policy and procedures. However, during the course of the survey, no such documentation was received. At 12:04PM, V5 (Lead Detective) was interviewed regarding investigation of incident on [DATE]. V5 said we were called to the facility due to two fraudulent checks that were written from the facility. V1 had told me that only V1 and V3 were authorized to write checks out of the resident's trust fund accounts, and he had not written these checks. My investigation showed that one of these checks was deposited via a mobile deposit and one was cashed at a currency exchange. They were both written to unknown names and cashed under unknown names. Unfortunately, I cannot say much more as this is still an ongoing investigation. Facility Policy titled Resident Trust Fund Policy Notification and Authorization states in part but not limited to the following: Residents have the right to have the facility keep their money in a trust account to safeguard and manage personal spending money. Facility Policy titled Policy and Guidelines on the Prevention of Abuse and Neglect dated [DATE] states in part but not limited to the following: The facility must provide a safe resident environment and protect residents from abuse. The residents of the facility have the right to be free from abuse, neglect, misappropriation of resident's property and exploitation as defined in this policy. Examples of misappropriation of resident property include but are not limited to theft of money from bank accounts. Staff must not accept or ask a resident to borrow personal items or money, nor should they attempt to gain access to resident's holdings, money, or personal possessions. 146078 Page 2 of 2