Failure to Provide Written Grievance Investigation Summary to Resident
Penalty
Summary
A resident with diagnoses including iron deficiency anemia, orthopedic aftercare following surgical amputation, acquired absence of right leg below knee, and morbid obesity, who was cognitively intact and required assistance with activities of daily living, reported a grievance regarding the conduct of staff. The resident expressed dissatisfaction with the behavior of staff members, describing them as rude, and formally submitted a grievance to the facility. Despite the facility's policy requiring that residents be informed both verbally and in writing of the findings of any grievance investigation and the actions taken, the resident did not receive a written summary of the investigation or its outcome. Interviews with the resident, the Administrator, and the DON confirmed that no written response was provided to the resident regarding the grievance, which was in direct violation of the facility's established grievance policy.