HospitalInspections.org

Based on interview it was determined that the facility did not have a system in place that consistently ensured the effective operation of the grievance process.

Findings:

On 04/09/12, at approximately 11:00 AM the facility was requested to provide their grievance log for grievances filed during the past 5 months.

During interview conducted on 04/09/12, at approximately 1:00 PM, the Director of Business Operations reported that the risk manager, who is responsible for the grievance process did not have access to the log. She reported risk manager's secretary was off for the day, that the log was locked in her desk; and that the risk manager did not have a key to her desk.