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Based on document review and interview, the facility failed to ensure patient rights related to belongings in 3 (patient 2, 4 and 6's) of 8 discharged patients medical records reviewed.

Findings Include:

1. Review of facility policy, PERSONAL BELONGINGS INVENTORY, Revised 2/2016, indicated the following, the following policy and procedure has been prepared to provide specific guidance to all personnel having responsibility for the collection, safekeeping and disposition of patient belongings and valuables.

2. Review of facility policy, PATIENT RIGHTS AND RESPONSIBILITIES, revised 8/2017, indicated the following, ...a patient receiving services is conditionally entitled to do the following: ...keep and use personal possessions.

3. Review of patient 2's medical record (MR), PATIENT BELONGINGS INVENTORY, indicated the following, Inventory Upon Admission, Dentures Top, 1 Glasses/glasses case, 1 Blouse/Shirt, 1 Shoes/Slippers, 1 Pants/Shorts. Inventory on discharge lacked any documentation of belongings returned.

4. Review of patient 4's MR, PATIENT BELONGINGS INVENTORY, indicated the following, inventory upon admission indicated, bag of luggage, 1 bra, 6 coat/sweater, 1 shoes/slippers, 2 hosiery/socks, 3 night gown/pajamas. Inventory upon discharge dentures full, glasses/glasses/case, lacked documentation other items returned, no discharge staff signature, time and date.

5. Review of patient 6's medical record (MR), PATIENT BELONGINGS INVENTORY, inventory upon admission, dentures top, glasses/glasses case, assistance device, hearing aid, coat/sweater (white). Inventory upon discharge lacked any documentation of belongings returned.

6. Review of facility documentation indicated the following, 9/19/2017, 10/27/2017, 11/01/2017, 12/30/2017 and 1/16/2018, patient complaints of missing belongings.

7. Interview on 2/23/2018, at approximately 8:54 am, with N6 (Chief Operating Officer) confirmed patient 2 and 6's medical record (MR), PATIENT BELONGINGS INVENTORY, indicated the following, inventory upon discharge lacked documentation of belongings returned. Review of patient 4's MR, PATIENT BELONGINGS INVENTORY, indicated the following, inventory upon discharge indicated dentures full, glasses/glasses/case. No discharge staff signature, time and date.

8. Interview on 2/23/2018, at approximately 11:50 am, with N6 (Chief Operating Officer) confirmed the following, multiple complaints about belongings in the past 6 months (September, 2017 through February of 2018).