F0576

C

Failure to Deliver Resident Mail on Saturdays

Windsor, North Carolina Survey Completed on 01-13-2026

Penalty

No penalty information released

Summary

The facility failed to ensure residents’ right to receive mail delivered on Saturdays, affecting the reasonable access to communication methods for all 67 residents. During a Resident Council meeting on 1/6/26 at 1:00 PM, multiple residents reported that mail was not delivered on Saturdays, explaining that the Activities Director delivered mail Monday through Friday and only on Saturdays if she happened to be in the facility. In an interview at 1:16 PM, the Activities Director stated that on weekends the manager on duty retrieved mail from the outdoor mailbox and placed it in the Business Office Manager’s office, but mail was not delivered to residents’ rooms on Saturdays and was instead given to her on Monday for distribution. At 1:25 PM, the Business Office Manager confirmed that weekend managers retrieved mail but did not distribute it because they were unsure which mail belonged to residents, and that they gave all mail to her so she could pass it to the Activities Director on Mondays. In an interview at 1:30 PM, the Administrator stated that her expectation was that staff deliver mail Monday through Saturday, including Saturdays, by the manager on duty.

These actions and inactions resulted in residents not receiving their mail on Saturdays, despite the Administrator’s stated expectation that mail be delivered six days a week.