Failure to Provide Accessible Survey Results to Residents and Families
Penalty
No penalty information released
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 ensure that complaint investigation survey results were readily accessible and available for review within the campus. During a recertification survey, it was observed that the binder labeled as containing survey results, located near the front desk, did not include required CMS 2567 documentation for several abbreviated complaint surveys and a standard survey conducted on specific dates. Interviews with the administrator and DON confirmed that these survey results were missing from the binder, and a resident stated that survey results were not available for residents to review. Additionally, when policies related to survey results were requested, none were provided.