A resident with COPD, depression, and adult failure to thrive died, and the facility did not refund the remaining resident trust fund balance within the required 30-day timeframe. Review showed a returned check for $1,285.81 was issued 33 days after the deadline. The BOM stated the timeframe was overlooked, and the Administrator confirmed the funds should have been sent within 30 days.
The facility did not follow its admission agreement requirement to refund any resident credit balance within 30 days, resulting in a significant delay in returning funds owed to a responsible party after a resident with a history of stroke, CHF, and metabolic encephalopathy died of natural causes. Although the responsible party was clearly documented as authorized for healthcare and financial decisions and was listed on the resident’s private bank accounts, the facility withheld a $1,995.00 refund until a notarized Heirship Affidavit was obtained and then delayed issuing the check for an additional 41 days, leading to the refund being paid more than five months after the resident’s death.
A resident with severe cognitive impairment and multiple diagnoses died, but the facility did not issue a refund of the resident's personal funds until more than two months after death, exceeding the required 30-day timeframe as confirmed by the Business Office Manager.
The facility did not refund the trust fund account balances of two residents, both with multiple medical conditions including hemiplegia and dementia, within the required 30-day period following their deaths. The accounting bookkeeper confirmed that the funds remained unrefunded, contrary to facility policy.
A resident with a history of psychotic disorder, dementia, and hypertension was discharged, but the facility did not refund the resident's personal funds within the required 30-day period. The responsible party confirmed the refund was received late, and facility staff acknowledged the delay.
The facility did not provide required notifications to the families or representatives of two residents when their trust fund account balances exceeded the Medicaid eligibility limit. Both residents had cognitive impairments, and there was no documentation that the mandated notification letters were received, despite account balances being well above the allowable threshold.
Three residents with complex medical conditions, including dementia, hemiplegia, and kidney failure, died while in care, and their account balances were not refunded to their families or estates within the required 30-day period. The facility's Accounts Receivable staff confirmed the refunds were processed late, contrary to facility policy.
Self-audit
Pick a level of detail and, optionally, what to focus on — then generate a survey-ready checklist distilled from the most recent citations.
Beta · AI-generated — for reference only, not professional advice. Verify against current CMS guidance before relying on it. Assisto accepts no responsibility for how this checklist is used.
Citations used to create this checklist
Trusted data from CMS and state health departments
Every citation, penalty and Plan of Correction is sourced from public CMS records (latest release June 24, 2026) and official state health department websites — never guesswork.
Get More From Your Search Results
Create an account to access advanced search filters, save your searches, and get unlimited access to detailed Plan of Corrections.
Create an Account