Failure to Provide Written Responses to Resident Council Concerns
Penalty
Summary
The facility failed to honor residents' rights to have their resident council concerns and recommendations addressed by not obtaining written responses from responsible department heads and administration. A Resident Council Response Form dated 01/08/26 documented council concerns about the nursing department, including slow call light response, with a directive for the DON to respond in writing by 01/22/26; however, no written response from the DON was recorded on the form. The same form also documented concerns about the dietary department, including requests for fresh fruit and a more varied menu, and concerns about the housekeeping department, including the need for clothing labels, with written responses due from those departments by the same date; no written responses from dietary or housekeeping were documented on the form. A subsequent Resident Council Response Form dated 02/05/26 showed additional council concerns regarding administration, specifically that exterior doors could be opened from the outside without a code, and concerns about housekeeping related to resident rooms not being cleaned, with written responses due from the administrator and housekeeping supervisor by 02/17/26; no written responses were documented from either. The SSD reported being responsible for taking resident council minutes, recording concerns on the response form, and providing the form to the appropriate department heads, and stated that department heads did not always respond to the council’s concerns. The housekeeping supervisor stated they signed and returned the response form but did not document a response, and the dietary manager stated they did not always respond to the council in writing. The administrator identified 87 residents residing in the facility at the time of the survey.
