Failure to Post Most Recent Survey Results in Accessible Locations
Penalty
Summary
The facility failed to ensure that the results of the most recent survey, specifically the Statement of Deficiencies (Form CMS-2567), were posted in a location readily accessible to residents, family members, and legal representatives in both the main lobby and the First Floor North Nursing Unit resident lounge. Observations revealed that while binders were present in these areas, they only contained health survey letters and complaint deficiency letters, not the required Statement of Deficiencies. Additionally, the deficiency letters included specific resident identifiers and names, and the most recent Statement of Deficiencies available in the binders was from 2023, not the most current survey. This failure was confirmed through observation and staff interview.