Failure to Post Complete Survey and Complaint Investigation Results
Penalty
Summary
The facility failed to ensure that both recertification survey results and documentation from complaint investigations, including the 2567 reports and facility responses, were available for review by residents, families, visitors, and staff. Observations showed that only recertification survey results from the past three years were posted, while documentation related to complaint investigations was missing. Review of the Aspen Central Office system confirmed that several complaint investigations had been completed, some with citations, but these were not posted as required. During an interview, the administrator acknowledged unawareness of the requirement to post all investigation letters and 2567 documentation. No facility policy regarding the posting of survey results was available.