Failure to Make State Survey Results Readily Available to Residents
Penalty
Summary
The facility failed to ensure that residents were made aware of the location of the latest State inspection results, including the Statement of Deficiencies and any subsequent survey findings. During a Resident Council meeting, six residents stated they were not aware of where to find the survey results and had not been informed by facility staff. Observations in the front lobby and at multiple nurse stations revealed that the State inspection results were not posted or available in the designated areas, and the binders present did not contain or indicate the survey results. Interviews with staff, including the activities supervisor, administrator, unit clerk, registered nurse, certified nursing assistant, and DON, confirmed that the survey results binder was not available in the lobby as required by facility policy. Staff members were either unaware of the binder's location or unable to provide clear information about its whereabouts. The facility's policy stated that the survey binder should be located in the main lobby and available for review, but this was not being followed at the time of the survey.