Survey Results and Plan of Correction Not Accessible to Residents
Penalty
No penalty information released
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Summary
The facility failed to ensure that the most recent Recertification Survey's plan of correction was readily accessible to residents and the public. During a residents' group meeting, five of nine residents reported they did not know where the latest survey results were located and were unaware of their rights to review these results. Upon review, a white binder containing the CMS 2567 from the last recertification survey was found in the lobby, but it did not include a copy of the Plan of Correction. The Administrator confirmed that the Plan of Correction was missing from the binder and acknowledged that it may have been removed.