F0585

D

Failure to Promptly Resolve Resident Grievance About Missing Clothing

Seaford, Delaware Survey Completed on 09-09-2025

Penalty

No penalty information released

Summary

The deficiency involves the facility’s failure to promptly resolve a cognitively intact resident’s grievance regarding missing personal clothing items. The resident was admitted on 3/7/19 and later reported on 5/4/24 that underwear, shirts, pants, and a cowboy jersey were missing, stating he was unsure where the clothing went and that it was possible the laundry had misplaced it. The grievance/concern log documented that on 5/7/24 the Housekeeping Director checked the laundry room and did not find any missing clothing, but there was no further documented action demonstrating timely resolution of the concern. A quarterly MDS dated 7/24/25 recorded a BIMS score of 15, indicating the resident was cognitively intact. During an interview on 9/2/25, the resident continued to report that his underwear, shirts, pants, and cowboy jersey were missing, and on 9/4/24 the Housekeeping Director stated in an interview that he was going that day to buy the resident some clothes. In a separate interview on 9/4/24, the Quality Manager confirmed that the facility lacked evidence of a prompt response or resolution to the resident’s grievance about the missing clothing items originally reported on 5/4/24, despite the established process described by the NPE for documenting and submitting grievances to the NHA.