Champion City Nursing: Failed to Report Theft - PA

The facility's Director of Nursing documented the theft allegation in an incident report. Staff filled out a grievance form. But nobody reported the suspected misappropriation to state authorities until five days later, when inspectors arrived for an unrelated complaint investigation.

State inspectors found the facility violated Pennsylvania reporting requirements during a December 29 inspection. Nursing homes must notify state agencies within 24 hours of any allegation that doesn't involve abuse or serious bodily injury.

The facility's own policy, dated October 30, requires staff to report suspected theft "immediately" to the administrator and state officials. The policy defines "immediately" as within two hours for allegations involving abuse or serious bodily injury, or within 24 hours for other allegations.

Resident R2, who was admitted with high blood pressure, high cholesterol, and muscle weakness, had given Resident R1 a scratch-off ticket worth $65 and $30 in cash. She asked him to go across the street, cash the winning ticket, and use the money to purchase additional lottery tickets for her.

Resident R1 took the ticket and cash and left the facility. He never returned.

The Director of Nursing learned about the incident and completed an incident report describing what happened. A grievance form dated December 25 stated that Resident R2 "had lottery tickets she gave to a resident to redeem" and that "Resident R1 took lottery tickets given to him" but "Resident R2 never received cash or purchased tickets."

Despite having documentation of the allegation, facility staff failed to submit the required report to state authorities.

Inspectors reviewed incidents submitted to the State Agency on December 29 at 9:00 a.m. The submission did not include Resident R2's allegation of misappropriation that occurred on December 24.

The facility only learned of its reporting failure when inspectors informed the Nursing Home Administrator at 4:25 p.m. on December 29 that they had failed to submit the required report within the 24-hour window.

Pennsylvania regulations require nursing homes to report all suspected abuse, neglect, exploitation, or theft of resident property to local, state, and federal agencies as mandated by current regulations. The facilities must also thoroughly investigate such allegations and document their findings.

The facility's policy states that "all reports of resident abuse (including injuries of unknown origin), neglect, exploitation, or theft/misappropriation of resident property are reported to local, state, and federal agencies (as required by current regulations), and thoroughly investigated by facility management."

It continues: "If resident abuse, neglect, exploitation, misappropriation of resident property or injury of unknown source is suspected, the suspicion must be reported immediately to the administrator and to other officials according to state law."

The inspection found that Champion City failed to follow its own procedures and violated multiple Pennsylvania regulations governing nursing home operations, including requirements for licensee responsibility, management protocols, staff development, and resident care policies.

State inspectors classified the violation as causing "minimal harm or potential for actual harm" and affecting "few" residents. However, the failure to report suspected theft within required timeframes prevents state agencies from conducting timely investigations and potentially exposes other residents to similar risks.

The inspection was conducted as part of a complaint investigation, though the specific nature of the original complaint was not detailed in the available documentation.

Resident R2 remains at the facility dealing with the loss of her $95 while the resident who allegedly took her money has disappeared entirely from Champion City Nursing and Rehabilitation Center.

Full Inspection Report

The details above represent a summary of key findings. View the complete inspection report for Champion City Nursing and Rehabilitation Center from 2025-12-29 including all violations, facility responses, and corrective action plans.

Additional Resources

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