Failure to Post Required State Agency and Advocacy Group Contact Information
Penalty
Summary
The facility failed to ensure that postings containing the names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups were accessible and understandable to residents and their representatives. During the survey, it was observed that there were no visible postings of this required information throughout the facility. The only postings observed were the staffing schedule, information about the wound care company, and contact information for the Office of Long-Term Care Ombudsman program, which were located in a glass encasement near the Assistant Administrator's office and in the elevators. No additional postings with the required information were found in other areas accessible to residents or their representatives. A review of the visitor sign-in logbook revealed that some documents, such as the New York State Department of Health complaint hotline number, Ombudsman hotline number, Residents' Rights, and survey results, were present but not posted; instead, they were kept in sheet protectors within the logbook and not accessible to residents. During an interview, the Assistant Administrator stated that the Department of Health complaint number was posted in the survey book at the front desk and included in the admission packet, but the surveyor confirmed that resident rights were not posted in the facility. The required postings were not observed in the glass encasement or elsewhere during the onsite survey.