Survey Results Not Accessible to Residents and Visitors
Penalty
Summary
The facility failed to ensure that the Department of Health's most recent survey results were readily accessible to residents and visitors. This deficiency was observed across four locations within the facility: the first floor lobby, and the nursing units on the ground, second, and third floors. During observations conducted on April 14, 2025, at various times in the morning, survey result books were not found in any of these locations. The Nursing Home Administrator confirmed during an interview on February 12, 2025, that the facility did not have the Department of Health's most recent survey results accessible in the specified areas. This lack of accessibility to survey results is a violation of the residents' rights to examine the results of the most recent survey and the facility's obligation to post these results in a place readily accessible to residents, family members, and legal representatives.
Plan Of Correction
Regional Director of Clinical Services educated the Administrator about the survey binder and its importance of locating the Survey results binder. Administrator will have large postings on every floor of the location the survey results binder that that floor. Administrator will do a weekly audit for 4 weeks to ensure that survey binder is updated.