Bringing transparency to federal inspections
Tag No.: A0118
Based on document review and interview the facility failed to provide the state address information for filing a grievance by mail to patients; resulting in the potential of denying all patients the the right to file a complaint/grievance in writing with an outside agency. Findings include:
On 7/28/15 at approximately 1200 during review of the patient rights booklet it was revealed that the state address information was not included in the booklet.
On 7/28/15 at approximately 1215 during an interview with staff J this surveyor asked if the state address was provided to the patient on the booklet, staff J replied, "No, it is not on there. We can add that in though."