Grievance Committee Not Properly Constituted
Penalty
32 days payment denial
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Summary
The facility failed to establish a grievance committee in accordance with required ratios, as the committee was comprised of two staff members and two residents, rather than maintaining no more than one staff member for every two residents or representatives. This deficiency was identified through a review of the committee's membership records and confirmed during an interview with the Administrator. The issue had the potential to affect all 54 residents residing in the facility. No additional information regarding the medical history or condition of the residents involved was provided in the report.