Failure to Provide Anonymous Grievance Submission and Follow Grievance Process for Missing Property
Penalty
Summary
The facility failed to provide residents and their representatives with a method to submit grievances anonymously, as required by facility policy. Multiple residents reported during a council meeting that they were unaware of any anonymous grievance process, and no grievance box or designated area for anonymous submissions was available in resident-accessible locations. Additionally, there was no signage or posted information indicating an option for submitting concerns confidentially or anonymously. The administrator confirmed the absence of a grievance box and acknowledged that the location of concern forms was difficult for residents to access independently. In a separate incident, the facility did not follow its grievance process regarding a missing personal item for a resident with chronic pain, restless leg syndrome, muscle weakness, and type 2 diabetes mellitus. The resident reported a missing windchime after being moved to a new room, and although an activity assistant stated she reported the missing item to her supervisor, there was no evidence that the concern was documented or investigated. The wellness director recalled being told about broken items but did not follow up, and the social services staff was unaware of the missing or damaged items. The administrator acknowledged that the required process for reporting and investigating missing items was not followed.