Failure to Document and Address Resident Council Grievances
Penalty
Summary
The facility failed to establish and implement a system to address grievances and concerns raised by the Resident Council for four of eight months reviewed. During interviews, a resident reported that when concerns were brought up in Resident Council meetings, they personally took the initiative to resolve the issues and were unaware if these concerns were documented as grievances. Review of Resident Council meeting minutes for January, March, April, and September 2025 revealed eight concerns requiring resolution, but none of these were recorded in the facility's Resident/Family Grievance Log. The administrator confirmed that grievances should have been documented by the meeting facilitator, logged, and followed up on, but this process was not followed for the concerns raised during the specified months.