Focused Care Of Center

F 0602 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some

FORM CMS-2567 (02/99) Previous Versions Obsolete

she knew what she did was wrong and did not have an explanation as to why she did it. She said she knew

the residents received $100 each month and whatever they did not use, they would lose. She said she hated that the residents would lose the money when it could have been used. She said she knew it was theft as the cards were not hers and she did not have permission to use their cards for her personal benefit.

She said initially when the food card program started at the facility, they were told repeatedly to use the cards and spend the money, if not they would lose the money at the end of the month. When questioned if

the facility told her, it was ok for the staff to use the resident cards for their personal use, she said they did not specifically tell her that. She said she made purchases for herself at the end of the month with the resident food cards when she knew they had money left on the cards and they were about to get reloaded.

She said she would not like it if someone took advantage of a family member if they were in a facility. She said it would be hurtful to think someone did that to a family member of hers. She said what she did was theft. She said she took an unethical route and accepted full responsibility for her actions. She said she could not remember how many purchases she made but thinks she only used cards for her personal benefit at the end of June and July 2025. She said she had annual training on abuse.During a phone

interview on 10/9/2025 at 10:15 a.m., loss prevention manager at [store name] said all the receipts that were in question from June 2025, July 2025, and August 2025 was all purchased by the same person (BOM/[NAME]).During a phone interview on 10/9/2025 at 10:18 a.m., the detective assigned to the case said he was off yesterday 10/8/2025. He said the initial reporting officer indicated in his narrative that the Administrator of the facility had filed a report on 10/7/2025 to report a staff member had been using the debit cards of residents in the facility. He said the investigation was ongoing and the police report would not be available for a while.Record review of a facility policy titled And More Grocery Benefit Card by PPHP dated 1/10/2025 indicated, .The $100 grocery benefit card should be stored in the business office and made available to the responsible party or the resident themselves. The community LED will also be able to support the use of this card as an activity for the residents. This process will support the utilization for the residents' benefit and appropriate use of their funds as it is intended. 1. Storage a. The grocery benefit cards will need to be stored in a secure location in the business office as they are received via mail. Check

in & check out process for the cards may only be exercised by the responsible party for the resident, the resident themselves or the community LED. All staff are expected to adhere to the policy provided for the use of this card to maximize and protect residents' supplemental benefits. 2. The EDO will oversee the proper use of these benefits. 3. [NAME] will: c. keep sign out log in binder-require proper ID. D. Keep all receipts received by the LED of the facility.Record review of a facility policy titled Abuse revised 1/27/2020 indicated, .the purpose of this policy is to ensure that each resident has the right to be free from any type of Abuse and or Misappropriation of property. The facility staff will adhere to the policies and procedures and will follow the guidelines in the written policy and procedure.

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