Failure to Maintain Required Grievance Log for Three Years
Penalty
Summary
The facility failed to maintain a grievance log for the required period of three years, as stipulated in its own policy. Review of the facility's grievance policy indicated that grievance logs should be kept for three years and include evidence of resolution. However, documentation showed that only grievances from July 2024 to August 2025 were available, with no records prior to July 2024. Interviews with the Administrator and the Case Manager confirmed that no grievance log existed for the period before July 2024, and both acknowledged the requirement to retain such records for three years. The Case Manager, who became the grievance official after a change in ownership and administration in June 2024, was unaware of the location of previous logs and was unable to obtain them from the former grievance official.