Failure to Provide Required Survey Results in Public Binder
Penalty
Summary
The facility failed to ensure that its survey result binder included the required health recertification and complaint survey results for two of the three years reviewed, specifically for 2024 and 2025. During an observation, the survey binder was found in a wall-mounted receptacle near the skilled nursing entrance and was labeled as containing the three most current years of survey reports. However, upon review, the binder only contained a Federal Fire and Life Safety recertification survey and its re-inspection from 2024, with no health recertification or health complaint investigation survey results for 2024 or 2025. Interviews with the DON and the Administrator revealed that only one survey binder was maintained, and the Administrator admitted to not including complaint investigation surveys in the binder, typically only placing annual survey results. The Administrator also stated that the survey results were not available last year and could not be found online.