Survey Results Not Readily Accessible to Residents and Families
Penalty
Summary
The facility failed to ensure that the results of its most recent New York State Department of Health survey were posted in a location that was readily accessible to residents, their families, and other interested parties. During the survey, it was observed that the survey results were kept in the back of the visitor sign-in logbook, which was not visible or easily accessible to visitors unless specifically requested. There was no notice posted in prominent or public areas of the facility to inform residents or visitors of the availability of these reports. Interviews with facility staff revealed a lack of awareness regarding the location of the survey results. The Assistant Administrator stated that the Department of Health complaint number was included in the survey book at the front desk and in the admission packet, but acknowledged that the survey results were not posted in prominent locations. The Receptionist confirmed that the survey results were in the back of the logbook and would not be noticed unless someone asked for them. The Director of Nursing was unaware of where the most recent survey results were located. These findings indicate that the facility did not comply with its own policy or state regulations regarding the posting of survey results.