Failure to Provide Accessible Survey Results to Residents and Families
Penalty
Summary
The facility failed to ensure that residents, family members, and legal representatives had full access to review the results of the facility's most recent survey findings, including survey results, certifications, complaint investigations, and plans of correction for the preceding three years. During a group interview, several alert and oriented residents reported that they did not know where the binder containing the survey results was located. Observations revealed that the survey result binder was kept behind the receptionist's desk in the front lobby, making it inaccessible without requesting it from the receptionist. The binder was only available when the receptionist was present and was stored in a cabinet when the receptionist was not at the desk, further limiting access. Additionally, the binder did not contain all required surveys from the past three years, as several survey reports were missing. Staff interviews confirmed that the binder was not easily accessible to residents and family members, and the social service director acknowledged that the receptionist was not on site all day, restricting around-the-clock access. The nursing home administrator, who had been in the role for four months, stated that it was his responsibility to keep the binder up to date but had not identified this as an issue.