Failure to Resolve Repeated Resident Grievances Regarding Missing Clothing
Penalty
Summary
The facility failed to resolve multiple repeated grievances related to missing clothing items for eight residents, as documented through interviews and record reviews. Grievance forms for these residents, spanning several months, consistently reported missing clothing, and the facility's own Resident Council Grievance form indicated that this was an ongoing issue. During a resident council meeting, all eight affected residents confirmed that they had filed numerous grievances regarding their missing clothes, but the issue remained unresolved and their clothing was never found. The facility's grievance policy requires a written decision for each grievance, including investigation steps, findings, and any corrective actions, but the records reviewed did not show resolution of the grievances. The administrator acknowledged that missing laundry is a persistent problem in the facility. There is no mention in the report of any corrective actions taken or resolution provided to the residents regarding their missing clothing.