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F0577
E

Failure to Provide Accessible Survey Results and Inform Residents of Review Rights

Denison, Texas Survey Completed on 12-18-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to post the results of the most recent survey in a place readily accessible to residents, family members, and legal representatives, and failed to ensure residents were informed of their right to review these survey results. During a confidential group interview with six residents, all residents reported they were not aware they had the right to review recent survey results, that this right had not been discussed with them, and that they did not know where the survey results were located. They stated they would like to know where the results were kept so they could access and review them. In an interview, the Activity Director, who was designated to review resident rights at resident council meetings, stated she had not informed residents about their right to review recent survey results and was unsure where the survey results were located in the facility. The Administrator stated that survey results were accessible in the front lobby and that residents should be aware they can review them without having to ask. However, observation with the Administrator showed that she had to search for the most recent state survey result binder, which was found in a closed cabinet in the front lobby, and there was no notice posted to inform residents or others how to access the survey results. Additionally, the facility failed to provide the resident rights policy prior to exit of the survey.

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