Failure to Update Posted Survey Results
Penalty
39 days payment denial
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 posted survey results were updated with the most recent survey findings. Observation of the facility's survey results binder revealed that the last included survey was dated 06/10/22, despite multiple surveys having been conducted since then, including eleven complaint surveys, an annual survey, and fifteen Focused Infection Control surveys. Review of the facility's survey history confirmed these additional surveys occurred between 06/10/22 and 04/28/25. During an interview, the Administrator confirmed that no survey results had been added to the binder since 06/10/22. This deficiency had the potential to affect all 55 residents in the facility, whose census at the time was 55.