Health inspection·December 12, 2023

F602 (Rev. 208; Issued:10-21-22; Effective: 10-21-22; Implementation:10-24-22) §483.12 The resident has the right to be free from abuse, neglect, misappropriation of resident property, and exploitation as defined in this subpart. This includes but is not limited to freedom from corporal punishment, involuntary seclusion and any physical or chemical restraint not required to treat the resident’s medical symptoms. 72527(a)(16) § 72527. Patients' Rights. (a) Patients have the rights enumerated in this section and the facility shall ensure that these rights are not violated. The facility shall establish and implement written policies and procedures which include these rights and shall make a copy of these policies available to the patient and to any representative of the patient. The policies shall be accessible to the public upon request. Patients shall have the right: (16) To retain and use personal clothing and possessions as space permits, unless to do so would infringe upon the health, safety, or rights of the patient or other patients. On 11/3/23 at 9 AM, an unannounced visit was conducted at the facility to investigate a complaint investigation regarding abuse. The facility failed to prevent misappropriation of property (the deliberate misplacement, exploitation, or wrongful, temporary, or permanent use of a patient's belongings or money) by failing to provide the trust fund (a legal arrangement that allows an individual to place assets in a special account to benefit another person or entity) to the patient or patient representative upon discharge from the facility, in accordance with the facility’s policy and procedure on “Discharge and Transfer of Patients” for one of three sampled patients (Patient 1). This failure resulted in Patient 1 missing $5,091.46 from Trust Fund from the date the patient was discharged from the facility on 5/2/23 up until 5/11/23 which caused an increased in Patient 1’s sadness and anxiety. During a review of Patient 1’s “Admission Record," dated 11/3/23, the “Admission Record” indicated, Patient 1 was admitted on 1/16/23 with diagnoses that included but not limited to major depressive disorder (a mood disorder that causes a persistent feeling of sadness and loss of interest, it can affects how a person feel, think and behave and can lead to a variety of emotional and physical problems), anxiety (a group of mental disorders characterized by significant feelings of fear), and osteoarthritis (the most common form of arthritis [inflammation or swelling of one or more joints] that occurs when flexible tissue at the ends of bones wears down), The “Admission Record” also indicated Patient 1 was self-responsible for making medical decisions. During a review of Patient 1’s “Minimum Data Set (MDS, a patient assessment and care screening tool)," dated 5/2/23, the “MDS” indicated, Patient 1 was cognitively intact (independent with daily decision-making). During a review Patient 1’s “Discharge Summary/Comprehensive Assessment,” dated 5/2/23, the record indicated, Patient 1 was admitted on 1/16/23 for rehabilitation skilled physical therapy (a medical treatment used to restore functional movements, such as standing, walking, and moving different body parts) and occupational therapy (treatment to promote more independent living) services, behavioral management, and psychotropic medication management and was discharged on 5/2/23 with cognition and psychosocial status of alert and oriented (fully conscious, responsive, aware of the surroundings and able to make decision for oneself.) A review of Patient 1’s “Discharge Evaluation,” dated 5/17/23, the “Discharge Evaluation” indicated, Patient 1 was the patient representative for herself. During an interview on 11/3/23 at 10:20 a.m. with Patient 1, Patient 1 stated she had close to $6000 USD in her trust fund with the facility before she was discharged from the facility on 5/2/23 and but had not received the monies. During a review Patient 1’s “Patient Statement Landscape,” dated 11/3/23, the record indicated, Patient 1 had a balance of $5091.46 USD as of 5/11/23. During a concurrent interview and record review on 11/3/23 at 2:45 p.m. with ADM, Patient 1’s copy of the actual issued check, dated 5/11/23 was reviewed. The record indicated, there was a signature followed by “received check 5/11/23 at 12:27 p.m.” ADM stated, per Business Office Manager (BOM), there was no record of who collected Patient 1’s issued check. ADM stated, the BOM confirmed that the collector was not the patient nor the placement coordinator that came pick up the patient on the day of discharge. ADM stated, the BOM did not know who she issued the check to. During an interview on 11/3/23 at 3:45 p.m. with the ADM, ADM stated that the collector was the Administrator of Patient 1’s receiving facility, not the patient. During an interview on 11/7/23 at 11:38 a.m. with Patient 1, Patient 1 stated she did not know that the facility had issued a check to her on 5/11/23. Patient 1 stated, she had never authorized anyone to collect her money. Patient 1 stated, she has not received her money since the discharge day, 5/2/23. Patient 1 stated, the incident caused her sadness and anxiety because of trying to find out what happened to her money. During an interview on 11/7/23 at 11:45 a.m. with the ADM, ADM stated the facility could not provide any record of Patient 1’s verbal or written authorization for the receiving facility to collect the issued check for her. During a review of the facility’s policy and procedure (P&P) titled, “Discharge and Transfer of Patients," dated February 2018, the P&P indicated, “upon discharge of the patient, all patient funds that are entrusted to the Facility and kept within the Facility are surrendered to the patient/patient representative in exchange for a signed receipt.” The facility failed to prevent misappropriation of property (the deliberate misplacement, exploitation, or wrongful, temporary, or permanent use of a patient's belongings or money) by failing to provide the trust fund (a legal arrangement that allows an individual to place assets in a special account to benefit another person or entity) to the patient or patient representative upon discharge from the facility, in accordance with the facility’s policy and procedure on “Discharge and Transfer of Patients” for one of three sampled patients (Patient 1). This failure resulted in Patient 1 missing $5,091.46 from Trust Fund from the date the patient was discharged from the facility on 5/2/23 up until 5/11/23 which caused an increased in Patient 1’s sadness and anxiety. This violation had a direct relationship to the health, safety, and security to Patient 1 and all patients residing in the facility.