Failure to Provide Accessible State Survey Results and Posting Location Information
Penalty
Summary
Facility staff failed to make the results of the annual recertification survey and plan of correction readily accessible to residents, family members, and legal representatives. During an observation of the lobby at 8:05 AM on 3/24/26, there was no evidence of State inspection results displayed in an open and easily accessible area for residents, staff, and visitors to review, and no sign was posted indicating where the State survey results were located. At 8:11 AM, the MDS coordinator stated that they were waiting for maintenance to open the Administrator’s office to obtain the survey book, indicating that the survey results were kept in a locked office rather than in an accessible location. At 8:52 AM, the DON presented the survey book to the surveyor and confirmed that the survey inspection results were not placed in an area easily accessible for review and that a sign directing individuals to the location of the State survey results had not been posted. No specific residents or their medical conditions were mentioned in the report, and the deficiency centered on the facility’s failure to properly display and provide access to the State survey results and related information for review by residents, families, and legal representatives.
We Help Long-Term Care Teams Stay Survey-Ready
We process and analyze inspection reports and plan of correction using AI to extract insights and trends so providers can improve care quality and stay ahead of compliance risks.