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F0577
C

Failure to Provide Accessible Survey Results to Residents and Representatives

Navasota, Texas Survey Completed on 06-05-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to ensure that residents had the right to examine the results of the most recent survey conducted by Federal or State surveyors, as well as any plan of correction in effect. During an observation, the survey results book was found placed behind a plant stand, making it difficult to locate or access. The book was not readily accessible or visible to residents, their legal representatives, or visitors. Additionally, the survey book only included the results from one survey and did not contain reports or plans of correction for the three preceding years as required. During a confidential group interview, six residents stated they were unaware of the existence of the survey book or how to access the survey results. The Administrator (ADM) confirmed it was her responsibility to maintain and update the survey book but was unaware of the requirement to include survey, certification, and complaint investigation reports, as well as plans of correction for the past three years. The ADM also stated she could not find a written policy regarding the maintenance and accessibility of the survey book.

See complete original report
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