Survey Results Not Readily Accessible to Residents and Visitors
Penalty
Summary
The facility failed to make survey results readily accessible to residents and visitors without requiring them to ask, as required. During a Resident Council meeting, multiple residents reported they did not know where the survey results were located. An observation showed a sign on the receptionist desk stating that the survey binder was located at the front desk, but the actual survey results book was kept behind the reception desk in a small room near the entrance. This area was restricted by walls and a desk, closed off to residents and visitors, and while the book was visible behind the receptionist, it was not within reach from the front of the desk. Interviews with two receptionists confirmed that the survey results book had always been kept behind the desk in a restricted area and that residents and visitors were not allowed behind the desk, but instead had to request access to review the book. The receptionists also described their work hours, indicating that access to the book depended on their presence. The ADON acknowledged she had not noticed that the survey results book was not in a public area and stated she was aware it needed to always be available without residents or visitors having to ask. The Administrator reported that the book had previously been placed in front of the desk but was moved behind the desk a few weeks earlier after residents had taken and misplaced it, and he acknowledged knowing that the survey results needed to be always available and not require a request to view.
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