cms_GA: 522
Data source: Big Local News · About: big-local-datasette
rowid | facility_name | facility_id | address | city | state | zip | inspection_date | deficiency_tag | scope_severity | complaint | standard | eventid | inspection_text | filedate |
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522 | A.G. RHODES HOME, INC, THE | 115275 | 350 BOULVARD, S.E. | ATLANTA | GA | 30312 | 2020-01-16 | 585 | D | 0 | 1 | 3CHC11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, resident/staff interviews, and review of the facility policy titled, Grievances and Enforcement the facility failed to communicate and document grievance decisions to resident's family for two residents (R) (A and B) of 48 sampled residents. Findings Include: Review of the facility policy titled, Grievances and Enforcement dated (MONTH) 2014 revealed the Administrator or his/her designee shall act to resolve the complaint or shall respond to the complaint within three business days, including in the response a description of the review and appeal rights. 1. Review of the Grievance/ Concern Report dated 12/3/19 revealed family of R A filed a grievance with the facility. Corrective action included in-services for staff. The section of the grievance titled For Office Use Only was completely blank including notification of the date the facility responded to the person filing the grievance and if the complaint was resolved to the satisfaction of the resident/ resident's representative. Interview with the family of R A on 1/15/2020 at 12:20 p.m. revealed a grievance was filed. Family of R A denied receiving written or oral communication regarding the status or conclusion of the grievance. Review of the Quarterly Minimum Data Set ((MDS) dated [DATE] revealed R A with a Brief Interview of Mental Status (BIMS) score of 7 indicating severely impaired cognition. 2. Interview with the family of R B on 1/15/2020 at 12:15 p.m. revealed a grievance was filed. Family of R B denied receiving written or oral communication regarding the status or conclusion of the grievance. Review of the MDS Significant Change assessment dated [DATE] revealed R B was unable to complete the BIMS assessment. Review of the Grievance Log from (MONTH) 2019 through (MONTH) 2020 revealed no documentation of associated grievances filed by the family of R B. All forms in the log did not address or specify what the status of grievances were, if the incidents had been resolved, and communication with the complainant. During an interview on 1/15/2020 at 11:00 a.m., the Administrator reviewed the grievance forms and acknowledged they were not completed under the section For Office Use Only. The administrator stated the forms should have been completed and follow up should have been done. During an interview on 1/16/2020 at 9:25 a.m., Social Services HH stated that the administrator and Director of Nursing (DON) follow up with the family. Interview on 1/16/2020 at 9:45 a.m. with Grievance Coordinator EE revealed that grievances go to the Social Service Director GG and she will determine if there needs to be an in-service. She then follows up with the family as far as what the conclusion is. It's about a three-day turnaround. | 2020-09-01 |