Survey Results Not Readily Accessible to Residents and Visitors
Penalty
Summary
The facility failed to ensure that three years of survey results were readily accessible for residents and visitors. During an observation, survey results were found in a binder placed in a plastic bin attached to the wall, but the binder only contained results from a recertification survey dated 8/23/23. A review of survey results from 11/22 to 6/2/25 revealed that several abbreviated and recertification survey results were missing from the binder, specifically those from 11/15/22, 12/22/22, 9/21/23, and 4/17/24. During an interview, the administrator confirmed that survey results prior to and after 8/23/23 were not included in the binder and were not accessible to residents or visitors. No policy on posting survey results was provided when requested.