Health inspection·August 14, 2024

F 0610 Respond appropriately to all alleged violations. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, staff and resident interviews, review of self-reported incidents (SRIs) and policy review, the facility failed to thoroughly investigate an allegation of misappropriation. This affected one (#51) resident of the three residents reviewed for misappropriation. The facility census was 79. Residents Affected - Few Findings include: Review of the medical record for Resident #51 revealed an admission date of 03/14/24. Diagnoses included chronic obstructive pulmonary disease (COPD), dementia, psychotic disturbance, mood disturbance, and anxiety. Review of the most recent Minimum Data Set (MDS) assessment dated [DATE], revealed Resident #51 was cognitively intact. Review of the facility's SRI dated 07/26/24 at 2:23 P.M., revealed Resident #52's relative stole a check from Resident #51 and cashed it. Resident #51 reported Resident #52 had a niece that wrote a check out to Resident #52's account. Resident #51 was assisted to the bank to file a fraud claim and called the police to file a report. Resident #52''s niece had been in Resident #51's room helping the resident write out checks because her handwriting was not the best and Resident #51 was signing the checks. Resident #52 was interviewed and was not aware of anything. The SRI was substantiated for misappropriation, verified by evidence and the suspected abuser was prohibited from entering the community until the matter was resolved. The police were notified, and a bank grievance was completed to get reimbursement. Interview with the Administrator on 08/13/24 at 2:00 P.M., revealed the facility was notified of allegations of misappropriation on 07/26/24 by Resident #51. The Administrator stated one of Resident #51's personal checks went missing and it was discovered being cashed for $200.00 in Resident #52's name. Resident#51 reported Resident #52's niece had been assisting her with writing checks because her writing is not the best and stated the niece must have taken the check. The Administrator stated Resident #51 was assisted to the bank to file a fraud alert and called the police to file a theft report. Interview with Resident #51 on 08/13/24 at 2:45 P.M., revealed on 07/26/24 she reported to the facility staff that a $200.00 check had been cashed in her roommate's (Resident #52) name. The resident stated she did not authorize the check to be written to Resident #52. Resident #51 stated the facility took her to the bank on 07/26/24 and she filed a fraud report, and then a police report alleging Resident #52's niece as the suspect. Resident #51 stated Resident #52's niece had been assisting her with writing checks recently due to her handwriting not being the best and the niece made a check Page 1 of 2 365309 365309 08/14/2024 Arc at Trotwood LLC 5790 Denlinger Road Dayton, OH 45426

F 0610 out to Resident #52 and deposited it into her checking account. Level of Harm - Minimal harm or potential for actual harm Follow-up interview with the Administrator on 08/14/24 at 11:15 A.M., revealed Resident #51's missing check was believed to be an isolated incident and Resident #52's niece did not visit other residents. The Administrator verified the facility did not complete a thorough investigation involving the allegations of misappropriation. Residents Affected - Few Interview with the Director of Nursing (DON) on 08/14/24 at 12:45 P.M., revealed he was not aware of the need to thoroughly investigate the allegations of misappropriation when Resident #51 alleged Resident #52's niece had taken a check and cashed it. Review of the Abuse Prevention and Reporting policy dated 08/2023 revealed the facility affirms the right of our residents to be free from abuse, neglect, exploitation, misappropriation of property, deprivation of goods and services by staff or mistreatment. The facility will promptly and aggressively investigate all reports and allegations of abuse, neglect, exploitation, misappropriation of property and mistreatment, and making the necessary changes to prevent future occurrences. This deficiency represents non-compliance investigated under Complaint Number OH00156365. 365309 Page 2 of 2