**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** .Based on interview and record review, the facility failed to ensure residents were free from misappropriation of property for 1 of 4 sampled residents (Resident 1), reviewed for misappropriation. This failure resulted in Resident 1's funds being misappropriated and placed residents at risk for financial exploitation and diminished quality of life.Findings included.Record review of the facility policy titled, Prevention and Reporting: Resident Mistreatment, Neglect, Abuse, Including Injuries of Unknown Source, and Misappropriation of Resident Property, dated 08/2022 showed, A resident has the right to be free from abuse, neglect, misappropriation of resident property, and exploitation as defined below. This includes but is not limited to freedom from corporal punishment, involuntary seclusion and any physical or chemical restraint not required to treat the resident's medical symptoms. Accordingly, the center prohibits the abuse, neglect, and exploitation of residents and misappropriation of resident property by anyone, including staff, resident representative/family, and friends. Further review of the facility's policy showed, Misappropriation of resident property means the deliberate misplacement, exploitation, or wrongful, temporary, or permanent use of a resident's belongings or money without the resident's consent.Record Review of Resident 1's quarterly Minimum Data Set [MDS], an assessment tool dated 07/21/2025, showed Resident 1 had a diagnosis of left sided hemiparesis (weakness or inability to move on one side of the body) and was cognitively aware and able to make decisions regarding her care.In an interview on 07/31/2025 at 9:14 AM, Collateral Contact 1 (CC1), the Durable Power of Attorney (DPOA) for Resident 1 said he had concerns regarding the facility's financial management. CC1 said Resident 1 had attended a doctor's appointment on March 24th. CC1 said he received a call from Staff D, the business office manager, informing him that during the appointment a $45.00 copay was required. Staff D informed him a staff member who had accompanied Resident 1 to the appointment paid for the co-pay. Staff D suggested Resident 1 keep her wallet and debit card with the facility so it would be available in the event further appointments with co-pays were necessary. CC1 said he gave Staff D $45.00 dollars to repay the care giver, Resident 1's wallet containing a credit card, some small bills, and two $100.00 dollar bills. Staff D informed him she would inventory and document the content of the wallet and keep it in the safe in the business office. CC1 became concerned when reviewing Residents 1's bank statements:On 04/08/2025 there was a transaction for $138. 84.On 04/28/2025 there was a transaction for 204.91.On 05/06/2025 when CC1picked up Resident 1's wallet with debit card the two $100.00 dollar bills were gone.When CC1 asked Staff D about the missing money, she said maybe Resident 1 spent the money. CC1 said Resident 1 was paralyzed on her left side and unable to go to stores or order things on her own. CC1 also said the items reported as purchased on 04/08/2025, and 04/28/2025 should not have cost as much as the transaction showed. CC1 never received receipts for any of the purchases. CC1 said he had asked Resident 1 about the $200.00 dollars, and she reported not spending the money and unaware of were it went.CC1 said Staff D had informed him an investigation would be initiated. CC1 said he had not heard of any results for the investigation.In an interview on 08/01/2025 at 1:09 PM, CC1 said he had retrieved receipts from the stores where items were purchased on 04/08/2025 and 04/28/2025. The transaction on 04/06/2025 showed $60.00 dollars in cash had been requested. The transaction on 04/28/2025 showed $100.00 dollars in cash had been requested.Record Review for receipt obtained from CC1 for store purchase on 04/08/2025 showed $60.00 dollars in cash had been requested.Record Review for receipt obtained from CC1 for store purchase on 04/28/2025 showed $100.00 dollars in cash had been requested.Record review on 08/05/2025 of the facility's Mandatory Reporting Log showed no entries were logged for an allegation for misappropriation of property or financial exploitation.Record review on 08/05/2025 of the facility's Grievance Log showed no entries were logged for an allegation for misappropriation of property or financial exploitation.In an interview on 08/05/2025 at 3:30 PM, Resident 1 said she had not asked for cash back after visiting the store on 04/08/2025. Resident 1 said she remained in the car with a staff member when Staff D went inside. She did not receive a receipt. Resident 1 said she did not initiate the second visit to the store on 04/28/2025. Staff D had approached her and said there was a sale on some candy and offered to get some for her. Resident 1 said Staff D came back with the candy and some pajama sets she hadn't asked for. Resident 1 said she had not asked for cash back and did not receive a receipt. When asked about the missing $200.00 dollars, Resident 1 said, I haven't loaned or given anyone money. In the facility or friends outside the facility. When asked why Staff D had her wallet with debit card and money Resident 1 said Staff D said it would be safe with her in the safe. When asked if she had been offered a key to keep valuables at her bedside she said, No, but I know that now.In an interview on 08/05/2025 at 5:07 PM, Staff B, Assistant Executive Director and Staff C, Director of Nursing Services/Registered Nurse, said they were not aware of a concern regarding Resident 1 and missing money. Staff D was placed on suspension, an investigation initiated, and police notified. Staff B said it was his expectation if staff heard of concerns regarding finances they would be reported.Record review on 08/08/2025 of the facility's investigation into misappropriation showed a note from Staff C stating Based on the investigation, it is strongly suspicious that financial mismanagement of money and the debit card occurred. [CC1] and Resident have been notified that funds will be replaced. The employee was suspended during investigation and their employment from Three [NAME] Care was terminated.In an interview on 08/11/2025 at 10:49 AM, Staff C, said as a result of the investigation Staff D's employment had been terminated and Resident 1and CC1 had been notified that funds would be replaced.Reference WAC 388-97-0640 [3][d].