|§483.10(f)(5) The resident has a right to organize and participate in resident groups in the facility.|
(i) The facility must provide a resident or family group, if one exists, with private space; and take reasonable steps, with the approval of the group, to make residents and family members aware of upcoming meetings in a timely manner.
(ii) Staff, visitors, or other guests may attend resident group or family group meetings only at the respective group's invitation.
(iii) The facility must provide a designated staff person who is approved by the resident or family group and the facility and who is responsible for providing assistance and responding to written requests that result from group meetings.
(iv) The facility must consider the views of a resident or family group and act promptly upon the grievances and recommendations of such groups concerning issues of resident care and life in the facility.
(A) The facility must be able to demonstrate their response and rationale for such response.
(B) This should not be construed to mean that the facility must implement as recommended every request of the resident or family group.
§483.10(f)(6) The resident has a right to participate in family groups.
§483.10(f)(7) The resident has a right to have family member(s) or other resident representative(s) meet in the facility with the families or resident representative(s) of other residents in the facility.
Based on resident and staff interview, review of select facility policy and minutes from Resident Council Meetings it was determined that the facility failed to demonstrate timely and adequate efforts to resolve resident grievances, which were brought forth at resident group meetings as evidenced by five of eight residents attending the group meeting (Residents 33, 50, 40, 100 and 82).
A review of the facility "Grievance Policy" last reviewed by the facility on May 8, 2019, revealed that the facility has a system in place to ensure residents right to prompt efforts to resolve grievances. They facility supports the resident's rights to voice any grievances without the fear of discrimination or reprisal. The reasonable timeframe the resident can expect a completed review of the grievance is within five to seven business days.
A review of the Resident Council Meeting minutes dated April 23, 2019, May 30, 2019, and June 20, 2019, revealed that during these resident group meetings residents expressed concerns that evening snacks are not always offered or provided to them on a daily basis.
During a group meeting held on October 2, 2019, at 10 AM with eight alert and oriented residents (Residents 98, 33, 67, 50, 40, 100, 57, and 82) all eight residents in attendance stated that they attend the monthly resident meetings on a regular basis. Five out of the eight residents (Residents 33, 50, 40, 100 and 82) stated that evening snacks are not consistently provided to them and the snack issue, as the residents had expressed during past monthly meetings, continues to be a problem for the residents. The residents stated that it depends on which staff members are working as to whether they receive a snack in the evening or not. Residents 33, 50, 40 and 82 all reported that they are diabetics and feel that it is important to receive a snack during the eveing hours.
During an interview with the Nursing Home Administrator on October 3, 2019, at 11:20 AM, the NHA verified that the residents had expressed concerns during past Resident Council meetings, that snacks are not consistently provided to the residents and acknowledged that the complaint has not been resolved.
28 Pa. Code 201.18 (e)(1)(4) Management
Previously cited 11/30/18
28 Pa. Code 201.29 (i)(j) Resident Rights
Previously cited 11/30/18
| ||Plan of Correction - To be completed: 11/05/2019|
Residents 82, 40, 50, 33 and 100 were interviewed. Compliance was discussed with residents cited.
Grievances derived from resident council sessions, and from residents will be recorded by the social services director/designee. Grievances will be provided to the appropriate department head director for review. NHA/designee to review grievances and follow up with resident(s).
NHA/designee will audit all grievances daily X 1 month to ensure completion and discussion with resident(s).
Grievances will be reviewed in quality assurance committee to ensure sustained compliance monthly X 2 months.
Date of Compliance: 11/5/2019