Survey Results Binder Not Properly Labeled or Accessible
Penalty
Summary
The facility failed to ensure that the most recent survey results were properly labeled and accessible to residents and the public in the location indicated by signage in the lobby. During multiple observations over four days, surveyors noted that the only signage regarding the survey results was a picture frame in the main lobby stating the results were in the chapel/activities room. However, no additional signage was found elsewhere in the facility, and the chapel/activities room contained several bookcases with various items but no clear indication or labeling of the survey results binder. The binder itself was not labeled on the spine, and there was no signage in the room to direct individuals to its location. Additionally, the binder was placed on the top shelf of a four-level bookshelf, making it inaccessible to residents using wheelchairs. Interviews with residents during a Resident Council meeting revealed that none of the residents knew where the survey results were located, including the Resident Council President who had been at the facility for several months. The Activities Director confirmed the binder's location but acknowledged it was not labeled and had been kept in the same spot for approximately 12 years. The Administrator also stated the binder was in the chapel/activities room and that signage in the lobby identified its location, but observations did not support that the binder was easily accessible or properly labeled for residents and the public.