Residents Not Informed of Survey Results or Binder Location
Penalty
Summary
The facility failed to ensure that residents were aware of and had access to the results of previous state recertification surveys and the corresponding plans of correction. During a resident council meeting, four residents, all of whom were alert, oriented, and verbally responsive, stated they were not aware of the survey results or the location of the survey results binder. These residents had various primary diagnoses, including incomplete paraplegia, idiopathic peripheral autonomic neuropathy, and unspecified cord compression. None of the residents interviewed could identify where to find the survey results or had been informed about them. Further interviews with facility staff, including the director of activities (DOA), administrator (ADM), and director of nursing (DON), revealed that the DOA was also unaware of the location of the survey results binder and had not informed residents about it. The facility's policy requires that survey reports and plans of correction be readily accessible to residents, family members, and the public, and that residents be able to examine the most recent survey results and plans of correction. However, this policy was not followed, resulting in residents not being informed or reminded about the survey outcomes.