Failure to Maintain Accurate List of Catholic Residents for Religious Services
Penalty
Summary
Facility staff failed to protect and value residents’ right to religious freedom by not providing an accurate list of Catholic residents to an outside eucharistic minister. A complaint from the eucharistic minister stated that he or she had been unable to provide communion to Catholic residents for approximately two years because the facility did not supply an accurate list of Catholic residents. The eucharistic minister reported attempting since October 2025 to obtain an accurate list, typically emailing the Administrator and Activity Director about four days before visits, and alleged that since March 2025 the lists received were inaccurate, preventing the provision of communion. The eucharistic minister further alleged that, when the Administrator was contacted about this issue, the Administrator acknowledged seeing the email but stated that he or she did not believe the list of Catholic residents was important at the time. During the survey, the Activity Director provided a list of Catholic residents, which, upon review and comparison with the most recent annual activity preference forms, was found to be inaccurate. Residents identified on the list as Catholic did not indicate Catholicism on their most recent activity preference forms, all of which had been signed and reviewed by the Activity Director. The Activity Director stated that residents receive an assessment of activity preferences at admission, upon changes, at readmission, and annually, and that the list of Catholic residents is supposed to be updated based on changes to these forms. The Activity Director indicated that assistants normally update the list, and, after reviewing the specific residents’ preference forms presented by the surveyor, admitted that the list of Catholic residents was inaccurate. The DON and Administrator were informed by the surveyor that the list was inaccurate based on the most recent activity preference forms.
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