Survey Results Not Accessible to Residents and Public
Penalty
Summary
The facility failed to display survey results in a location accessible to residents and the public for the entire duration of the survey. Observations over four days revealed that the survey result signage was placed in a picture frame on a table behind the receptionist in the main lobby, with a statement indicating that the survey results were in a binder under the sign. However, no binder was observed under the signage or in any other area of the facility during multiple checks. Further observations confirmed the continued absence of the survey results binder at the designated location and elsewhere in the facility. During a Resident Council meeting, attendees, including the Resident Council President, reported not knowing where the survey results were located, despite some having been at the facility for several years. Interviews with the Activities Director and the DON confirmed their belief that the binder should be behind the receptionist desk, but they were unable to locate it during a walking tour. The Administrator later stated that the binder should be behind the receptionist desk, but suggested it may have been moved to a bookshelf in the main dining room, possibly by a resident. Throughout the survey, the survey results were not accessible to residents, their representatives, or visitors as required.