Survey Results and Plan of Correction Not Readily Accessible
Penalty
Summary
The facility failed to ensure that the most current survey results and the associated plan of correction were posted in a location that was easily accessible to residents and the public. During an observation with the Administrator Assistant, the survey results binder was found stored high on a wall outside the medical records office, making it difficult for residents in wheelchairs to access without assistance. Additionally, during a review with the Director of Nursing, it was discovered that the plan of correction was missing from the binder available for residents and visitors. The facility's policy requires that these documents be maintained in a 3-ring binder located in an area frequented by most residents, such as the main lobby or resident activity room, but this was not being followed.