Failure to Post and Communicate Survey Results
Penalty
Summary
The facility failed to ensure that the most recent State agency survey results were posted in a prominent location and readily accessible at all times, as required. During a resident council meeting, several residents reported they did not know where to find the survey results and had not discussed them during council meetings. A tour of the facility revealed that while binders labeled with survey years were present on each floor, the most recent survey results were not always included, and complaint survey results were missing from the binders. The signage above the binders did not indicate that additional survey results were available upon request. The administrator confirmed that both recertification and complaint survey results should be included in the binders and accessible on each floor, as some residents do not leave their floor. The activities director also stated that survey results had not been discussed during resident council meetings. Facility policy requires that information about the location of the three most recent survey reports be posted on the resident bulletin board and at each nurses' station, but this was not observed during the survey.