Based on interview, facility ledger review, receipts review, resident records review, and policy review, the facility failed to hold, safeguard, manage, and protect resident trust funds for seven (7) of 13 sampled residents (Residents #1, #2, #3, #4, #5, #8, AND #9) and three (3) of five (5) unsampled residents (Unsampled Residents B, C, and D), from a total sample of 13. This resulted in immediate jeopardy that began on [DATE] when staff made unauthorized trust fund withdrawals from accounts belonging to Resident #2, Resident #3, Resident #4, and Resident #5, and made unauthorized deposits into the trust fund accounts established for Resident #1, Resident #8, Unsampled Resident B, Unsampled Resident C, and Unsampled Resident D, resulting in lost funds, and inaccurate trust fund balances,… …
F159
Resident Rights Deficiencies
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
The harm level
How severely F159 is cited
0.0% of citations found actual harm or worse (level G and above).
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D150.0% | E150.0% | F— |
| No harm, potential for minimal | A— | B— | C— |
In the surveyor’s words
What an F159 citation says
One finding from each severity level, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
Based on staff interview and administrative document review, the facility failed to safeguard, manage and account for the personal funds of 57 of 57 Residents with trust accounts (Resident 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, and 57) when: The Owner/Administrator withdrew $20,000.00 from one of two Resident Trust Accounts (Trust Account 1) and deposited this amount into his personal/business account for the purpose of paying personal and business accounts. …
Based on observation, interview, record review and policy review, the facility failed to hold, safeguard, manage and account for residents' personal funds which were deposited with the facility. The facility failed to establish and maintain systems according to accepted accounting principles for 26 of 56 residents (Residents #3, #4, #5, #6, #7, #8, #9, #10, #11, #12, #13, #14, #15, #16, #17, #18, #19, #20, #21, #22, #23, #24, #25, #26, #27 and #28) who were identified as having discrepancies. An audit found a total of $3,047.60 in trust fund money was taken out of their account without the receipts or signature of resident and/or witnesses. …
Based on observation, interview and record review, the facility failed to maintain a complete accounting according to generally accepted accounting principles of resident money held by staff in the medication cart for one additional resident (Residents #20). The facility failed to place resident money greater than $50.00 in an interest bearing account for Resident #20 in a review of 12 sampled residents. The facility census was 41. 1. Record review of the facility's undated Personal Funds policy showed: -YOUR RIGHT to have your money and property protected means that is we are involved in handing funds and property belonging to you, we will do so responsibly; -You have the right: to manage your own financial affairs, should you choose to do so and to have our assistance in managing… …
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