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F0577
C

Failure to Provide Accessible Survey Results and Plan of Correction

Stephenson, Michigan Survey Completed on 06-26-2025

Penalty

14 days payment denial
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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 honor residents' rights to examine the results of the most recent survey conducted by Federal or State surveyors, as well as the associated plan of correction. During a confidential group meeting with six residents, it was revealed that none of the residents were aware of the procedure for accessing the survey results or knew where these results were posted. The resident council president also confirmed a lack of knowledge regarding the location of the last survey results. Upon inspection with a resident, a binder containing survey results was found hanging on the wall. However, the most recent survey displayed was marked "Not Final" on each page, and there was no plan of correction included. The Nursing Home Administrator confirmed that the binder did not contain a final copy of the last annual survey or the required plan of correction, indicating that the facility did not make these documents readily accessible as required.

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