Failure to Address Resident Council Concerns
Penalty
Summary
The facility failed to effectively respond to concerns raised by residents during resident council meetings, as evidenced by a lack of documented follow-up to specific requests made by two cognitively intact residents. One resident, admitted with diabetes, repeatedly requested a copy of their medication list but did not receive it, and there was no indication in the council meeting notes or staff communications that this concern was addressed. Another resident, admitted with a history of falls, repeatedly requested more activities on weekends, describing them as boring and "dead," but there was no documented follow-up or resolution to these requests in the meeting notes or staff emails. Despite staff acknowledging these concerns during multiple resident council meetings, the facility's process for addressing and resolving resident council issues was insufficient. Staff stated that follow-up was expected to occur via internal emails and department head actions, but there was no evidence that the residents' concerns were resolved or that the residents received feedback. Interviews with staff confirmed a lack of awareness and action regarding the residents' requests, and residents reported that their concerns remained unaddressed over several months.