Survey Results Not Readily Accessible and Incomplete at Reception
Penalty
Summary
The facility failed to ensure that survey results were readily accessible and that the most recent survey results were available for review. Upon entry, a surveyor requested the latest survey results from the front desk receptionist, who was unable to locate the survey binder in its usual location. The Director of Nursing (DON) later provided the binder, explaining that it had been removed by the Regional Director of Clinical Operations and not returned to its designated spot. Review of the binder revealed that it contained results from a previous survey but did not include the most recent survey completed several months prior. The DON confirmed the omission and acknowledged that the most recent results were located in a different binder on another unit.