Failure to Make State Survey Results Readily Accessible to Residents
Penalty
Summary
The facility failed to ensure that state inspection/survey results were readily accessible for residents to view without having to request them from staff. During interviews, the resident council president stated that the survey binder with state inspections was kept at the front desk, while two other residents reported they did not know what the survey binder was or that it contained state survey results. On a subsequent tour, no survey binder was observed in public view at the front desk. When surveyors requested to review the survey binder, the receptionist searched binders located behind the desk and stated the survey binder was not there. The Regional Nurse Consultant reported that the survey binder should be at the front desk, and the Regional Nurse Consultant and another staff member searched the administrator’s office and areas around the front desk and foyer. The DON later produced the survey binder and stated that the receptionist did not know what the survey binder was, and when asked whether the receptionist should know what it was or whether it should be available for residents to review without asking, the DON declined to answer. This deficiency affected four residents in the sample reviewed for residents’ rights related to access to state inspection results, including the resident council president and other residents who were unaware of the survey binder or its contents.
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