Health inspection·November 19, 2025

F 0602 Protect each resident from the wrongful use of the resident's belongings or money. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interviews and record review, the facility failed to ensure residents had the right to be free of misappropriation of resident property and exploitation for 1 of 2 residents (Resident #1) reviewed for misappropriation and exploitation.The facility did not prevent misappropriation when on 11/04/2025 CNA A accessed Resident #1's personal cell phone and used Resident # 1's mobile cash application to transfer amounts of $ 31.00 and $50.00 to herself. This failure could place residents at risk of misappropriation of money, possessions, and feelings of loss.Record review of the facility provider investigation report written by the facility ADM, dated 11/05/2025, reflected: Resident #1 was a [AGE] year-old woman who resided at the facility for Rehabilitation care services. Resident # 1 reached out to facility letting the facility know that Resident #1's cell phone cash application was used to make payments to CNA A on 11/04/2025 at 7:15 PM. The facility started an investigation of the incident and filed a police report with The Round Rock Police. Photos were obtained from Resident # 1's phone and cash application supporting 2 transactions made by the night CNA A. The facility suspended CNA A on 11/5/2025 and terminated CNA A on 11/6/2025. Record review of Resident #1's MDS assessment dated [DATE] revealed she scored a 15 on her mental status exam (indicating an intact cognitive response) and she has a normal cognitive functioning and requires minimal support. Resident # 1 required helper assist only prior to or following activities. Record review of Resident #1's chart revealed Resident #1 admitted on [DATE] was a [AGE] year-old female with diagnosis which include: GENERALIZED ANXIETY DISORDER, ESSENTIAL (PRIMARY) HYPERTENSION (High Blood Pressure and PAIN IN LEFT SHOULDER. Resident was discharged from the facility on 11/09/2025.During an interview on 11/19/2025 @ 3:03 PM, CNA B stated, she has worked at this facility for almost 1 year and has received annual training regarding Abuse, Neglect, Exploitation and Misappropriation of funds. CNA B understands from her training that she is to immediately report if she suspects Abuse, Neglect, Exploitation or Misappropriation of funds. CNA B stated, on the morning of 11/05/2025, she was walking in the hallway pushing another resident when she heard Resident # 1 call out her name. Resident #1 said to her, the Night CNA had stolen money from me. CNA B left the room and started toward the Administrators office when she ran into the Social Worker. She reported the incident to the Social Worker and 15 minutes later confirmed that the Administrator was in Resident # 1's room and they were discussing the resident's reported loss. CNA B stated, Resident # 1 appeared upset due to this incident. During an interview with the Social Worker on 11/19/2025 @ 2:35 PM, she stated she has worked at this facility since July of 2023, and she has had training annually and periodically on Misappropriation of funds. She has also been trained in resident rights which include residents be treated with dignity, respect and to have privacy and a safe environment to live in. The Social Worker stated, a CNA told her that Resident #1 said, CNA A, from the night shift had transferred money to her own account from Resident # 1's mobile phone. The Social Worker stated that she interviewed Resident #1, and she told her she was looking at her cash application and Residents Affected - Few Page 1 of 2 675546 675546 11/19/2025 Trinity Care Center 1000 E Main St Round Rock, TX 78664

F 0602 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few CNA A from the night shift had borrowed her phone and transferred money to herself from her cash application. She stated she went to the Administrator as she was the Abuse Coordinator and reported the incident, and they began gathering information and evidence. She stated, the Police were notified. She stated, we do our due diligence to prevent this from happening and I know that background checks are run on every employee prior to employment. During an interview on 11/19/2025 @ 9:39 AM and a second interview at 2:19 PM, the HR stated, CNA A's employment was terminated on 11/06/2025 after the facility completed this investigation. She also stated that a police report had been filed, CNA A's pre-hire background check came back clear, CNA's references had been checked with positive results and Nurse's Aide registry confirmed licensing was current and it expires in 2026. The HR stated she did not make a referral to the licensing board regarding CNA A license as she was waiting for the state to decide. The HR stated this resident has been discharged from the facility as insurance funds no longer pay for rehabilitation for this resident. T During an interview on 11/19/2025 at 8:55 AM, the ADM stated that it was determined that CNA A had used the resident's mobile phone to access the residents' cash application and she subsequently made payments to herself. The ADM stated she carried out an investigation in which she obtained photos of the cash application transfers. CNA A was put on suspension on 11/5/2025 and she was terminated on 11/06/2025. The ADM stated she did not submit a referral to the licensing board for employee CNA A as she believed the state was going to submit a referral. The ADM stated the staff did have in-service training regarding misappropriation on the following days. The ADM stated she had contacted all 3 of Resident # 1's family members including the Responsible Party on 11/05/2025. In an interview on 11/05/2025 at 4:52 PM with Resident# 1's RP, it was revealed that he and his family members were notified on 11/05/2025 by the facility's ADM of an investigation regarding an incident of Misappropriation of funds. The RP confirmed that Resident # 1 had been at the facility due to some recent health issues and Resident # 1 has been discharged and she has returned to her home. Interview on 11/20/2025 at 7:01 AM, PD Officer #1 confirmed this incident was reported to the police department by the ADM. He confirmed the case number and stated his investigation and charges were ongoing. In an interview on 11/19/2025 at 4:00 CNA A stated, I don't have any cash apps and I did not take funds from that person. CNA A stated, she did not have any contact with the police about this incident and later, CNA A said she had been interviewed by the police. Record review of facility in-service training dated 11/05/2025 after the incident reflected that all staff had been trained on abuse, neglect, and misappropriation after this incident occurred. Record review of facility policy titled, Abuse, Neglect, Exploitation or Misappropriation- Reporting and Investigating dated revised 09/2022, reflected, The administrator or the individual making the allegations immediately reports his or her suspicion to the following persons or agencies:A. The state licensing/certification agency responsible for surveying/ licensing the facility.B. Local / State ombudsmanC. The resident's representative E. Law enforcement officesAnd corrective actions are to be taken including:All relevant professional and licensing boards are notified when an employee is found to have committed abuse 675546 Page 2 of 2