Complaint Investigation Report

Allegation: “Staff did not ensure residents personal property was safely secured”

It was reported that upon Resident #1’s (R1) discharge, staff did not safeguard their belongings. On 03/31/2026, R1 was transferred for long-term care skilled nursing facility (SNF). R1 stated that before leaving the facility, they separated their items into two (2) groups: items to be donated and items to be transported to the SNF. After all belongings were delivered to the SNF, R1 reported that four (4) handbags were missing, described as one (1) black, one (1) beige, one (1) denim, and one (1) multicolored. R1 insisted these handbags were not at the SNF and may have been mistakenly placed in the donation pile.

Interviews with staff and the ED revealed that the facility maintains an inventory list for all residents at admission, hospital and SNF transfers, and upon discharge. Staff reported that they offered R1 assistance with packing and conducting an inventory list prior to the 03/31/2026 transfer; however, R1 declined. Staff confirmed that essential items were sent with R1 at the time of transfer, and the remaining belongings were delivered to the SNF the following day through the facility’s laundry service vehicle.

Record review showed that the SNF completed an initial inventory list on 03/31/2026 and an updated list on 04/01/2026 when the remaining belongings arrived. The 04/01/2026 inventory list documented receipt of nine (9) handbags received which included two (2) black, two (2) brown, one (1) beige, one (1) dark blue denim, and three (3) canvas bags including a navy and multicolored bag.

On 06/01/2026, LPA Huynh contacted SNF social services staff, who confirmed awareness of the missing items. The LPA requested a reinspection of R1’s belongings, which staff agreed to conduct. Later that same day, the facility’s ED notified the LPA that the missing handbags had been located inside a suitcase in R1’s possession.

Based on interview and record review, although the allegation may have happened or is valid, there is insufficient evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed UNSUBSTANTIATED at this time.

No deficiency cited. Exit interview conducted. A copy of the report was reviewed and provided.