Failure to Document and Address Resident Grievance
Summary
A resident expressed frustration regarding delays in having her sanitary brief changed and reported these concerns to a staff member, who stated she communicated the issues to the Director of Nursing (DON) and documented them in the facility's electronic system. However, the staff member did not submit any formal grievance documentation for this resident, despite having done so for others. Another CNA, with long tenure at the facility, was aware of the resident's complaints about noise and other residents entering her room but did not report these issues to administration, as she did not consider them dangerous. The Social Worker confirmed that no grievance forms had been submitted by or on behalf of the resident, and the DON stated she had not received any complaints from the resident or her family. The facility's grievance procedure requires documentation and resolution within three days, but no documentation existed for this resident's concerns. This sequence of events demonstrates a failure to follow the facility's grievance policy, resulting in the resident's complaints not being formally documented or addressed as required.
Penalty
Trusted data from CMS and state health departments
Every citation, penalty and Plan of Correction is sourced from public CMS records (latest release July 29, 2026) and official state health department websites — never guesswork.
In your survey window? See what surveyors are citing.
The Survey-Prep Report maps your facility's risk from 12 months of CMS and state citation data — what's being cited around you and what to check first. $129 one-time.