Incomplete Ombudsman Contact Information Posted
Penalty
Summary
The facility was found to be non-compliant with the federal requirement to post complete contact information for the State Long-Term Care Ombudsman program. During an interview, a resident requested the email address of the Ombudsman, which was not available on the posted information in the hallway. The observation confirmed that the poster only included a phone number, lacking the name, address, and email address of the Ombudsman. The Nursing Home Administrator acknowledged the omission during an interview and observation, confirming that the facility failed to meet the requirement to post the Ombudsman's complete contact information. This deficiency was identified during an abbreviated survey conducted in response to a complaint, highlighting the facility's failure to provide residents with accessible and comprehensive contact details for pertinent state agencies and advocacy groups.
Plan Of Correction
F 575 - The Ombudsman's email address was added to the poster. Education will be provided to the Nursing Home Administrator by the Clinical consultant on what is required on the Ombudsman posting. An audit will be completed by the Nursing Home Administrator, or designee, on all mandatory postings to ensure all required information is present. An audit will be completed by the Nursing Home Administrator, or designee, weekly for two months to ensure all required information is present on the postings. Results of the audits will be reviewed at the monthly QAPI meeting for tracking and trending purposes. The Nursing Home Administrator shall ensure compliance.