Failure to Provide Most Recent Survey Results in Public Binder
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 make the most recent survey results available in the survey binder, which had the potential to affect all 97 residents currently residing in the facility. During a resident council meeting, a family member reported being unable to view the most recent survey results in the binder located by the front entrance, as it only contained information from 2022. Upon observation with the Executive Director, it was confirmed that the most recent survey present was from December 2022, despite an annual recertification survey having been conducted in March 2024. The Executive Director acknowledged that the latest survey should have been included in the binder but was unsure why it was missing.