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F0577
C

Failure to Make Complaint Investigation Results Available for Review

Columbia Heights, Minnesota Survey Completed on 06-26-2025

Penalty

No penalty information released
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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 make the results of complaint investigations available for review by residents, families, visitors, and staff. During an observation, survey results were found in a binder labeled Annual Survey Results, which included only the past three recertification survey results and did not contain the 2567 forms or reports related to complaint investigations. Review of the Aspen Central Office system confirmed that several complaint investigations had been completed, some with citations, but these were not included in the posted or available survey results. The administrator stated she was unaware that posting the corresponding letters from all investigations was required, and no facility policy for posting survey results was available.

See complete original report
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