Failure to Document and Address Resident Council Concerns
Penalty
Summary
The facility failed to ensure that staff thoroughly assisted and documented resident concerns and grievances during monthly resident council meetings over a five-month period. Review of resident council meeting minutes revealed no documented concerns, despite residents stating that issues were raised during the meetings. The president of the resident council specifically noted that concerns about nursing staff behavior during overnight shifts and suggestions related to food were discussed but not recorded in the minutes. Additionally, a review of the facility's grievance records showed only three listed concerns, none of which matched those mentioned by the resident council president. Interviews with the activity director confirmed that residents had voiced concerns during recent meetings, but these were not documented in the official minutes. The activity director stated she removes concerns from the minutes and gives them to Social Services, but could not recall the specific concerns raised. Residents also reported that their rights were not being reviewed during meetings. The facility's policy requires staff to document and address grievances, but the lack of documentation in both meeting minutes and grievance logs indicates this process was not followed.