Survey Results Not Accessible to Residents
Penalty
Summary
The facility failed to make survey results easily accessible to residents, as required. Observations over three days revealed that the survey results were kept in a binder placed in a wall file pocket in the first-floor lobby, approximately five feet high. All resident rooms were located on the second floor, which was only accessible by a secured elevator. The stairwell door on the second floor was also locked and required a code, further limiting resident access to the first floor and the survey results binder. During a Resident Council Meeting, all five residents present stated they did not know where the survey results binder was located. After being informed, they indicated that accessing the binder would require staff assistance to unlock the elevator and accompany them to the lobby. One resident using a wheelchair noted she would not be able to reach the binder independently due to its height. Interviews with the Social Services Director and the Corporate Nurse Consultant confirmed that the only survey results binder was in the first-floor lobby and was not accessible to residents without staff help.