Failure to Address and Communicate Resident Council Grievances
Penalty
Summary
The facility failed to act upon and communicate efforts to address grievances reported by the Resident Council over a two-month period. Resident Council meeting minutes from June and July 2025 documented multiple grievances, including issues with housekeeping not removing trash, nursing assistants delaying in putting residents to bed, night shift nurses sleeping and not responding to call bells, delayed laundry delivery, lack of assistance from second shift staff, unfair television time sharing, and missing personal items. Despite these grievances being raised during meetings, there was no documentation of the facility's response or resolution to these concerns in the subsequent months. During a Resident Council meeting in August, the council president stated that grievances voiced in the previous two months had not been fully addressed and that staff had not communicated any efforts to resolve them. Interviews with the Activities Director and the Administrator confirmed that grievances were not documented or followed up on as required. The Activities Director was unaware of the need to document and communicate actions taken regarding Resident Council grievances, and the Administrator acknowledged that proper documentation and follow-up should have occurred.