Grievance Forms Not Readily Accessible or Anonymous
Penalty
Summary
The facility failed to ensure that residents could fully exercise their right to file grievances, including the ability to file grievances anonymously. During an observation, it was found that grievance forms were not readily accessible to residents, as they were kept at the nurses' station rather than in a location easily accessible to all residents. Interviews with a resident and the Director of Social Services revealed that residents were aware of the grievance policy but needed to request a form from staff and submit it to the Social Worker's office, limiting anonymity. The Administrator and Regional Director of Clinical Operations confirmed that grievance forms were not readily available and could not be filed anonymously, indicating a lack of compliance with grievance policy requirements.