Failure to Post Most Recent Survey Results in Accessible Location
Penalty
Summary
The facility failed to post the results of its most recent recertification survey in a location that was readily accessible to residents, family members, and legal representatives. During an observation and record review, it was found that the survey results binder, located by the receptionist desk in the public common area, only contained survey results up to February 2024. However, a review of the Texas Unified Licensure Information Portal (TULIP) indicated that the most recent recertification survey was conducted in August 2024, and these results were not included in the binder. During an interview, the Administrator confirmed that it was facility policy to keep the most recent survey results in the binder and accessible to the public. The Administrator acknowledged responsibility for ensuring the binder was up to date and stated she was unaware that the most recent survey results were missing. The facility's policy was reported to follow HHSC guidelines, but the omission of the latest survey results was confirmed through both observation and record review.