Failure to Post Required Contact Information for State Agencies
Penalty
Summary
The facility failed to ensure that information regarding how to contact State agencies and advocacy groups, including a statement that residents may file a complaint with the State Survey Agency, was accessible to all residents, visitors, and staff. This deficiency was identified during a confidential family interview on April 8, 2025, where it was revealed that such information was not available and posted for all residents, visitors, and staff. Additionally, an observation confirmed the absence of posted information that included a statement about filing complaints with the State Survey Agency. In an interview conducted on April 9, 2025, the Administrator confirmed that the names and phone numbers of various advocacy groups, including the State Survey Agency, were not posted and available to residents, staff, and visitors. This lack of accessible information is a violation of the requirement to post pertinent contact information and a statement regarding the right to file complaints, as outlined in the federal regulations and the 28 Pa. Code 201.29(a)(c.1) concerning resident rights.
Plan Of Correction
Part 1. The required postings were established and made available for all on 4/09/2025. Part 2. The required correction was made immediately upon notification. No other review of related infraction is indicated. Part 3. The NHA was educated on the regulation for required postings to be made available for all to reference. Part 4. Required postings will be audited for accessibility/placement weekly X 4 weeks, bi-weekly X 4 weeks, and monthly X 1 month. Audit results will be reviewed at QAPI. Part 5. Date of compliance is May 13, 2025.