nursing home records audit · LTC exploitation — quick-start

checklist

1. contact the facility's administrator to flag the concern — facilities have a legal obligation to investigate financial exploitation under OBRA regulations.
2. preserve all bank statements for the resident's accounts for the past 24 months — look for recurring transfers, ATM withdrawals, or payees the resident did not authorize.
3. pull the power of attorney document — note the granting date, scope of authority, and whether the resident had capacity when it was signed.
4. export the facility's billing and payment records — look for discrepancies between the resident's personal account withdrawals and what the facility actually billed.
5. preserve any caregiver device exports or visitation logs if the facility tracks them — exploitation often clusters around specific caregiver shifts.
6. note whether the resident's beneficiary designations or will have changed since the alleged exploitation began.
7. pull Medicare / Medicaid billing records for the resident — fraudulent billing by facilities is a separate track from personal financial exploitation.
8. contact Adult Protective Services (APS) — most states require facilities to report suspected exploitation; a private report to APS runs in parallel.
9. contact the Long-Term Care Ombudsman for the state — ombudsmen have access rights and can request records on behalf of residents.
10. begin the primary tool path below — nursing home records audit toolkit.

primary tools

1. 01elder abuse financial exploitation kitdrop bank statements + caregiver device exports + power of attorney docs · exploitation pattern report · runs locally
2. 02controlled substance pmp log forensic analyzerdrop pmp/pdmp query log · parse who queried which patient prescription history · runs locally
3. 03case report generatorfill in case number · examiner · dates · findings · drop evidence files for auto hash · generates structured forensic report PDF · runs locally

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