Failure to Make Survey Results Readily Accessible to Residents
Penalty
Summary
The facility failed to ensure that residents were aware of where to locate the State Agency (SA) survey inspection results, including surveys, certifications, and complaint/incident investigations. During observations and interviews, it was found that there were no survey results posted in the lobby or common areas, nor was there any signage indicating where these results could be found. Staff members, including an LVN, were unaware of the location of the survey binder, and the administrator retrieved the binder from a hidden location behind the nurse's station, stating she was not aware it needed to be publicly accessible. The binder itself was incomplete, missing results from previous state visits. Additionally, interviews with eight residents revealed that none of them knew where or how to access survey results within the facility, nor had they ever been informed about the outcomes of any SA visits. Several residents expressed a desire to have access to this information. The facility's policy required that such postings be accessible to all staff and residents, but this was not being followed at the time of the survey.