Encore At Turf Valley

Based on observation, interview, and documentation review it was determined that the facility staff failed to store, prepare, and maintain a sanitary environment in accordance with professional standards for food service safety by failing to ensure that Dishwasher hot water temperatures are frequently checked to ensure the cleanliness and sanitation of dishware, failing to ensure proper cooking temperatures of food by taking temperatures during food preparation and service and failing to store dishware sanitarily. This practice had the potential to affect all residents that consumed food that was prepared by the kitchen. The findings include: An initial environmental kitchen food services inspection was conducted on 11/15/21 at 8 AM. Observations of the dishwasher area revealed that there were approximately 40 bowls of various sizes in 5 stacks with bowl side up and 4 coffee cups stored on top of the dishwasher. Dishwasher temperature check logs were not observed. The Dinning Services Manager was in the kitchen at the time of the inspection and was asked to provide copies of the…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review and staff interview, it was determined the facility failed to develop and implement comprehensive person-centered care plans with appropriate measurable goals. This was exemplified for 3 (#69, #63, #24) residents out of 46 residents reviewed. The findings include: A care plan is a guide that addresses the unique needs of each resident. It is used to plan, assess and evaluate the effectiveness of the resident. The Minimum Data Set (MDS) is part of the Resident Assessment Instrument that was Federally mandated in legislation passed in 1986. The MDS is a set of assessment screening items employed as part of a standardized, reproducible, and comprehensive assessment process that ensures each resident's individual needs are identified, that care is planned based on those individualized needs, and that the care is provided as planned to meet the needs of each resident. Maryland Order for Life Sustaining Treatment (MOLST) - This term refers to a document which is the written instructions…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review and interviews with staff and a resident, it was determined that the facility failed to ensure an interdisciplinary team, which included the resident and or the resident's representatives, contributed to the resident's comprehensive care plan as evidenced by the failure to conduct a quarterly care plan meeting. Additionally, facility staff failed to document and evaluate each care plan to ensure the interventions continued to be appropriate for the resident's condition. This was found to be exemplified for 6 (Residents #29, #22, #49, #24, #123, #69) out of 46 resident's reviewed during the survey. The findings include: The Minimum Data Set (MDS) is a federally mandated assessment tool used to identify resident needs and help with the development of the resident's plan of care. The MDS assessments are federally mandated to be completed at least quarterly with additional assessment information required during the annual assessment. Care Plan refers to a document which is the written…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review and interview it was determined that the facility failed to ensure staff followed physician orders as evidenced by 1) failure to assess a resident's blood sugar level every morning as ordered; ; 2) failed to ensure an orders for safety precautions were communicated to staff and implemented; 3) failure to ensure ordered consults were addressed. This was found to be evident for 4 (Resident #29, # 15, #169, #173) out of 46 residents reviewed during the survey. The findings include: 1) On 11/18/21 review of Resident #29's medical record revealed the resident has diabetes and an order, in effect since December 2020, to check the resident's glucose (blood sugar level) before breakfast and at bedtime. Review of the October 2021 Medication Administration Record failed to reveal documentation to indicate the blood sugar level had been checked as ordered at bedtime on October 14, 2021 or prior to breakfast on October 28, 29 or 30, 2021. The concern rgarding the failure to obtain the blood…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review and staff interview it was determined the facility staff failed to have a process to ensure that medication regimen reviews occur monthly for all residents and pharmacist recommendations were timely acted upon and documented in the resident's medical record. This was evident for 3 (#49, #56, #52) of 5 residents reviewed for unnecessary medications. Additionally, the facility failed to develop policies and procedures related to the steps the pharmacist must take when he or she identifies an irregularity that requires urgent action to protect the resident. The findings include: 1) Resident #49's medical record was reviewed on 11/18/21 at 8 AM. Documentation of monthly medication pharmacy reviews were not found in the resident's medical record. An interview was conducted with the Director of Nursing (DON) on 11/18/21 at 8:22 AM. She was asked to provide the location of the monthly pharmacy medication reviews. She indicated that the previous pharmacy was performing medication reviews…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review and interview it was determined that the facility failed to ensure that medical records were kept in accordance with the professional standards of practice as evidenced by: 1) failure to ensure that orders for CPR were discontinued in the electronic health record when a new MOLST was initiated and new orders for No CPR were instituted; 2) failure to ensure that the advanced directives that were referenced in MOLST forms were kept in the medical record; 3a & 3b) the failure to ensure that old (expired) Maryland Medical Orders for Life-Sustaining Treatment (MOLST) forms were voided when a new MOLST form was initiated; 4a & 4b) residents' immunization consent forms that were obtained without signature and date, and 5) nursing staff documented Foley catheter care for a resident that did not have a catheter. This was evident in 7 (#29, #174, #15, #6, #14, #60, and #173) out of 46 residents reviewed during the survey. The findings include: 1) On [DATE] review of Resident #174's medical…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, record review, and staff interview, it was determined that the facility failed to maintain strict infection control processes evidenced by: 1) failure to clean reusable medical equipment from resident to resident. This was observed as 2 of 2 staff performed vital sign checks on the long-term care unit, and 2) failure to implement appropriate standard precautions to help prevent the spread of infections. This was found to be true for 1 of 4 nurses observed during the medication administration facility task. This deficient practice has the potential to affect all residents, staff, and visitors in the facility. Standard precautions are the minimum infection prevention and control practices that must always be used for all patients/residents in all situations. Transmission-based precautions are used when standard precautions alone are not enough to prevent the spread of an infectious agent. The findings include: 1) On 11/18/21 at 8:45 AM, Geriatric Nursing Assistant (GNA) Staff #19 was observed using the same blood pressure cuff and Oxygen monitor from resident in…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review and interview it was determined that the facility failed to have an effective system in place to ensure resident's who were capable to make their own decisions were involved in decisions regarding life sustaining treatment orders; and failed to ensure that a copy of a resident's advance directive was kept in the resident's medical record. This was found to be evident for 3(Resident #29, #15 and #14 ) out of 7 residents reviewed for Advance Directives during the survey. The findings include: 1) Review of Resident #29's medical record on [DATE] revealed the resident has resided at the facility for more than a year, was cognitively intact and able to make their needs and wishes known. On [DATE] review of the paper chart revealed a Maryland Medical Orders for Life-Sustaining Treatment (MOLST) dated [DATE]. The MOLST (Maryland Medical Orders for Life-Sustaining Treatment) is a form which includes medical orders for emergency medical services or other medical personnel regarding CPR…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review and interview, the facility failed to notify a resident's responsible party and provider when the resident received a injury that required treatment (Resident #226). This was evident for 1 out of 2 residents reviewed during an annual survey for neglect. The findings include: Review of Resident #226's medical record revealed the resident was admitted to the facility on [DATE] for rehabilitation after a hospital stay for a weakened state. Documentation dated 5/16/2021 at 7:59 PM revealed a Registered Nurse (RN) observed a treated arm wound for the resident that was not ordered by the provider. The documentation stated that the RN notified the Administrator, Director of Nursing, the on-call provider, and the family representative about the un-ordered arm wound treatment. An order was obtained by the provider to properly treat the arm wound. During an interview with the Director of Nursing (DON) on 11/23/2021 at 1:00 PM revealed that the DON was unaware of the arm wound incident in May…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on medical record review, staff interview, and review of administrative records, it was determined that the facility failed to provide written notification to residents or resident representative when the facility determined that a resident no longer qualified for Medicare part A skilled services. This is identified for 1 (Residents #124) of 2 residents reviewed that remained in the facility after termination of Medicare part A skilled services. The findings include: Notification to residents regarding the end of their Medicare coverage is required to be minimally 48 hours prior to the scheduled effective date that coverage will end, therefore, affording them an opportunity to appeal the decision or to prepare for discharge. In addition, CMS is very specific in the form that is required to be used for the notification of the non-coverage of Medicare services. The SNFABN (Skilled Nursing Facility Advanced Beneficiary Notice of Non-coverage) provides information to residents/beneficiaries that services may no longer be covered by Medicare and addresses the resident's liability…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and review of pertinent documentation it was determined that the faciltiy failed to maintain a safe and clean environment as evidenced by failure: 1) to ensure that needed repairs were reported to maintenance, 2) to ensure that exhaust vents in bathrooms were cleaned on a regular basis, and 3) that hazards were identified and removed from resident care areas. This was found to be evident on two out of the ## units at the facility. The findings include: 1) On 11/15/21 at 9:31 AM a phone was noted sitting on the floor in the hallway across the hall from room [ROOM NUMBER]. The phone had a cord leading from the phone to the outlet on the wall approximately 12 inches above the handrail. The phone itself had a section with push buttons and a curly cord attaching the hand piece to the rest of the phone unit. On 11/16/21 at 1:05 PM the phone was observed to be on the floor in the same location as 11/15/21. On 11/17/21 at 12:58 PM the phone was again observed on the floor. Observations of…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on medical record review the facility failed to keep resident medication safe and free of misappropriation of resident property. This was evident for 5 (Resident #219, #220, #221, #32, #47) out of 6 residents reviewed for abuse. The findings include: A record review was conducted for Resident #219 on 11/23/21 at 10 AM. On 2/14/21 the narcotic count was found to be incorrect from the cart of Staff #13. Resident # 219 was ordered oxycodone 5 mg P.O. (by Mouth) every 4 hours, as needed. There were 2 narcotic sheets for oxycodone. One sheet had 3 remaining pills Staff # 13 signed off 1 pill at 15:20 hours and 1 pill at 2100 hours. This should have left 1 pill. The remaining 1 pill was not in the narcotic box. The second narcotic, sheet, there were 3 pills signed out, 2 pills at 1520 hours and 1 pill signed out at 2140 hours. This was a total of 5 tabs removed from the narcotic box, (signed out on the 2 above sheets). The resident orders read that she can have 1 tab every 4 hours PRN (as needed), so the maximum amount that should have been signed out in an 8-hour shift was 2…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review and interview it was determined that the facility failed to include a statement of the resident's appeal rights in the written transfer notice provided to residents at the time of discharge, and failed to ensure that staff completed information regarding where a resident was being transferred as well as why the transfer was necessary. This was found to be evident for 3 (Resident #169, #14, #70 ) out of the 5 residents reviewed for hospitalization during the survey. The findings include: 1) On 11/23/21 review of Resident #169's medical record revealed the resident was discharged to the hospital on [DATE]. On 11/23/21 review of the Notice of Emergency Transfer and Bed-hold Policy form being provided to residents at the time of discharge to the hospital revealed blanks for the date, the name of the resident, and the name of the facility staff completing the form. Additionally, the form included the following statement: This is to notify you and your representative that your condition…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on medical chart review, the facility failed to have a baseline care plan for Resident # 55 and Resident # 63. This was evident for 2 out of 2 residents reviewed for pain management. The findings include: 1) On 11/15/21 09:37 AM , a chart review was conducted for Resident # 55. The resident was admitted from the hospital after falling at home and hitting her/his ribs on the dresser. She/he started to have SOB (shortness of breath) and pain and was sent to the hospital. Resident # 55 had left sided small hemothorax, left lobe basilar contusion and posterior left 5th through 10 rib fractures. The resident was unsteady on feet. [NAME] stockings were placed on both legs. A comprehensive care plan was done on 11/5/21. The resident came to facility with fractures on 10/27/21, but there was no baseline Care Plan in the medical record. In addition, the resident was admitted with pain medication. There was no baseline Care Plan for AC (anticoagulant), and no baseline Care Plan for pain. 2) On 11/15/21, at 12:43 PM, a record review was conducted for Resident # 63. Resident # 63 has a…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review and interview, the facility nursing staff: 1) failed to follow standards of practice by failing to report and obtain an order for treatment of an observed injury (Resident #226). This was evident for 1 out of 3 residents reviewed during a complaint survey. 2) Failed to meet a professional standard of quality as evidenced by Foley catheter care was documented seven times for a resident whose catheter had been already removed. This was evident for 1 (Resident #173) of 6 residents reviewed for Foley catheter during the survey. The findings include: 1) Review of Resident #226's medical record revealed the resident was admitted to the facility on [DATE] for rehabilitation after a hospital stay for a weakened state. Medical record documentation dated 5/16/2021 at 7:59 PM revealed a Registered Nurse (RN) observed a treated arm wound for the resident that was not ordered by the provider. The documentation stated that the RN notified the Administrator, Director of Nursing, the on-call…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, staff interview, and observation, it was determined that the facility failed to follow hospital discharge instructions for a follow-up appointment with a Urologist. The failure of the facility to follow up with a Urologist placed the resident at risk for infection. This was evident for 1 (# 173) of 6 residents reviewed for Foley catheters during the survey. The finding includes: A Foley catheter is a thin, sterile tube inserted into the bladder to drain urine. A review of Resident #173's medical record on 11/17/21 at 9:08 AM revealed that the resident was admitted to the facility on [DATE] with a Foley catheter from an acute care facility. Review of the hospital Discharge summary dated [DATE] showed the resident needed a follow-up appointment with a Urologist. Further record review found an order from the resident's physician dated 11/5/21 that stated 'consult/appointment with Urology for Urinary retention'. Record review revealed that a staff reported that Resident #173 had red…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on medical record review, interview and observation, the facility's nursing staff failed to administer resident pain medication based on order parameters (Resident #30). This is evident for 1 of 7 residents observed during the medication administration task for the facility's annual survey. On 11/18/21 at 8:29 AM, the surveyor observed Registered Nurse (RN), #9, administering medication to Resident #30 as part of medication administration observation task for the facility's annual survey. Resident #30 self-reported pain level at 8 and requested pain medication. RN#9 gave the resident two 325mg tablets of Tylenol and a 10mg Oxycodone tablet for the resident's self-reported pain level of 8. Review of Resident #30's medical record at 11/18/21 at 10:03 AM revealed that the resident was ordered to have two 325mg Tylenol tablets for mild pain self-reported at a level 1-3. The resident had another pain medication order for a 10mg Oxycodone tablet for the resident's self-reported pain level of 4 -10. Further review of Resident #30's medical records at 11/18/21 at 10:10 AM revealed…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on medical chart review, the facility failed to clarify an order for Xanax with behavior health and the resident's physician. This was evident for 1 (#64) out of 4 residents reviewed for mood-behavioral comprehensive assessment. The findings include: On 11/15/21 at 1:35 PM a record review was conducted for Resident # 64. Resident # 64 has a history of depression, anxiety, schizophrenia, and tardive dyskinesia. On 10/11/21 the physician ordered Xanax 0.25, 1 tab every evening for anxiety disorder. The resident is receiving services by behavior health and was last seen on 11/2/21. Behavior Health had an order in the medical record for Resident #64 to be administered Xanax 2 times per day for anxiety. There was no clarification on this order. The Director of Nursing (DON) was made aware on 11/18/21 at 10:32 AM.

Based on observation and interview, the facility nursing staff failed to ensure that all medications in a medication cart were unexpired. The was found in 1 of 3 medication carts inspected. This deficient practice has the potential to affect all residents. On 11/19/21 at 9:30 AM, the surveyor inspected a medication cart on the Patuxent unit. The surveyor observed that a bottle of liquid protein expired on 9/25/21 and a bottle of MiraLAX expired on 10/20/21. The surveyor interviewed Registered Nurse (RN) #9 to ask about the facility process to ensure that all medications in a medication cart are unexpired and safe to use for all residents. RN#9 stated that all medications are checked daily by each individual nurse assigned to the cart to ensure that medications are unexpired. The surveyor pointed out the two expired medications found on the Patuxent medication cart. RN#9 stated that the carts were just replaced so assigned nursing staff had not had the chance to completely inspect all the medications in the cart. The surveyor interviewed the Director of Nursing (DON) on 11/19/21 at…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on record review and staff interview, it was determined that the facility staff failed to document that residents and/or their Responsible Parties (RPs) were provided education on Influenza and Pneumococcal vaccines before requesting consent. This was evident for 4 (Resident #6, #29, #57, and #60) of 5 residents reviewed for Immunizations during the survey. The findings include: During an interview with the Assistant Director of Nursing (ADON) on 11/18/21 at 11:15 AM, the ADON stated that the vaccines were provided by a vendor pharmacy, and the consent form filed on residents' paper chart or documented under immunization tap on PCC (electronic medical record system) for refusal residents. Also, the ADON added that the facility did not document that education was provided for each vaccine candidate and/or their RP to inform them of the risks and benefits of receiving the vaccines) separately. On 11/18/21 at 11:20 AM, a medical record review was conducted for Resident #29. A vendor pharmacy's Influenza Vaccine Informed Consent form dated 10/1/21 was saved in the resident's paper…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation and interviews of facility staff, it was determined that food service employees failed to ensure that equipment was maintained and staff practices were followed to reduce the risk of foodborne illness. The findings include: On September 27, 2018, at 2:00 PM, surveyors toured the facility main kitchen with the Food Service Manager. The following observations were made: 1) The hand sink in the dishwashing area was wrapped in plastic, making it unusable. Interview of the Dietary Manager revealed that the sink had been wrapped to prevent employees from dumping debris into the sink and clogging it. 2) Three dry goods bins, used for storing flour, sugar and rice, were not labeled with contents and the date that the bins were filled. The lid for one bin was cracked and one bin's lid was open, potentially exposing the food to contaminants. 3) The paper towel dispenser for the hand sink adjacent to the ice machine was not functional. On September 28, 2018 at 8:00 AM, surveyors toured the facility kitchen with the Dietician and Food Service Manager. The following…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.