Failure to Document and Resolve Resident Grievances
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 document, resolve, and provide responses to residents and/or their responsible parties regarding concerns for ten out of thirteen grievances submitted in March 2025. According to the facility's Resident Grievances and Concerns Policy, grievances are to be reviewed and completed within a reasonable time frame, not to exceed thirty days. However, a review of the March 2025 grievance log showed that as of May 15, 2025, ten grievances lacked documentation of parties being informed of findings or completed dispositions. This was confirmed by the Nursing Home Administrator during an interview, indicating noncompliance with the facility's own policy and state regulations regarding grievance handling and resident rights.