Crown Rehab And Healthcare Center

Based on interview and record review, the facility failed to ensure two sampled Nurse Assistants (NAs) (NA A and NA B) completed the Certified Nurse Assistant (CNA) training program within four months of his/her employment in the facility. The facility census was 99 residents. A policy was requested and was not received by the exit date. 1. Review of the facility spreadsheet for NA training on 3/19/24 showed: -NA A's date of hire was 7/28/24 with a completion deadline of the CNA training by 11/25/24. -He/She had worked on the following days: --3/3/25 on the day shift. --3/4/25 on the day shift. --3/10/25 on the day shift. --3/11/25 on the day shift. --3/12/25 on the day shift. --3/17/25 on the day shift. --3/18/25 on the day shift. -NA B's date of hire was 9/9/24 with a completion deadline of the CNA training by 1/7/25. -He/She had worked on the following days: --3/3/25 on the day shift. --3/4/25 on the day shift. --3/10/25 on the day shift. --3/11/25 on the day shift. --3/17/25 on the day shift. --3/18/25 on the day shift. During an interview on 3/19/25 at 1:44 P.M. NA A said:…

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, interview, and record review, the facility failed to follow pre-prepared menus to ensure they met the nutritional adequacy needs of residents, in accordance with established national guidelines and professional standards for food service. This deficient practice potentially affected all residents who ate food from the kitchen. The facility's census was 88 residents with a licensed capacity for 118 residents at the time of the survey. 1. Review of the pre-prepared menus for the current month provided by the Dietary Manager (DM) showed the following: -The menus had the facility's food vendor name at the top left. -The lunch for Monday the 17th was listed as bacon wrapped beef, country mashed potatoes, and mixed vegetables. -The lunch for Tuesday the 18th was listed as a hot dog on a bun, crispy French fries, cucumber salad, and a cottage cheese/pineapple salad. -The lunch for Wednesday the 19th was listed as Frito chili pie, buttered corn, and jello salad. During an interview on 7/17/23 at 9:08 A.M. the DM said the following: -Their food vendor delivered every…

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, interview, and record review, the facility failed to keep the Dry Storage (DS) room, walk-in refrigerator, and walk-in freezer floors clean; to maintain sanitary beverage dispensers; to maintain plastic plate covers and utensils in good condition to avoid food safety hazards (cross-contamination); and failed to separate damaged foodstuffs, in accordance with professional standards for food service safety. These deficient practices had the potential to affect all residents, visitors, volunteers, and staff who ate food from the kitchen. The facility's census was 88 residents with a licensed capacity for 118 residents at the time of the survey. 1. Observation on 7/17/23 between 8:29 A.M. and 9:26 A.M. during the initial kitchen inspection showed the following: -There was a 6 pound (lb.) 12 ounce (oz.) can of chili with beans on a can dispenser rack in the DS area that was dented on one side toward the top rim. -There were several crumbs and two strips of plastic under the racks in the DS area. -There was plastic, paper, an onion skin, and a butter pod under 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.

Based on interview and record review, the facility failed to ensure the narcotic count sheet was signed by both the on-coming and the off-going nurses to verify the correct count of narcotics. The facility census was 88 residents. Review of the facility's policy, Controlled Medication Storage, dated 11/2017 showed: -Medications included in the Drug Enforcement Administration (DEA) classification as controlled substances were subject to special handling, storage, disposal and record keeping in the nursing care center in accordance with federal, state and other applicable laws and regulations. -The Director of Nursing (DON) and the consultant pharmacist monitor for compliance with federal and state laws and regulations in the handling of controlled medications. -The medication nurse on duty maintains possession of the key to the controlled medication storage areas. -At each shift change or when keys were surrendered, a physical inventory of all Scheduled II, including refrigerated items, was to have been conducted by two licensed nurses and was to have been documented on 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.

Based on observation, interview, and record review, the facility failed to ensure medications were stored securely; failed to ensure other objects were not in with the residents' prescribed medications; failed to ensure refrigerators that store residents' prescribed medications and supplements were kept within the required temperatures; failed to ensure the sink in the medication room was kept clean and hand soap and towels were available to wash hands, and failed to ensure medication carts were not left unlocked while nursing staff was not in attendance of the medication cart. The facility census was 88 residents. Review of the facility's policy, Storage of Medication, dated 1/2021 showed: -Medications and biologicals were to have been stored properly, following the manufacturer's recommendation, to maintain their integrity and to support safe effective drug administration. -The medication supply was to have been accessible only to licensed nursing personnel, pharmacy personnel, or staff members lawfully authorized to administer medications. -Medication rooms, cabinets and…

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 record review, the facility failed to follow their policy to complete testing to screen residents upon admission for tuberculosis (TB- a communicable disease that affects especially the lungs, that is characterized by fever, cough, difficulty in breathing, abnormal lung tissue and function) for two sampled residents (Resident #83, and #75) out of five sampled residents; the facility failed to follow infection control protocols during wound care for three sampled residents (Residents #23, #25 and #35), and to clean/sanitize scissors properly before and after use between residents for two sampled residents (Residents #25 and #35) out of 18 sampled residents. The facility census was 88 residents. Review of the facility's Tuberculosis Screening policy dated 10/24/22 showed: -All residents were to be screened upon admission to the facility. -Any resident without documented negative TB skin tests (TST) or chest x-ray within the previous 12 months would receive a baseline TST. -When…

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 interview, and record review, the facility failed to ensure one sampled resident (Resident #64) had a code status upon admission out of 18 sampled residents. The facility census was 88 residents. Review of the facility's policy, Advance Directives, dated October 24, 2022 showed: -The Facility would respect a resident's advance directive and would comply with the resident's wishes expressed in an advance directive. -Upon admission, the admission Staff or designee would obtain a copy of a resident's advance directive. -A copy of the resident's advance directive would have been included in the resident's medical record. -If the resident did not have an Advance Directive, the Facility would have provided the resident and/or resident's next of kin with information about advance directives upon request. -An Advance Directive was defined as a resident's written preference regarding treatment options. -Upon admission, the admission Staff or designee would have provided written information to the resident…

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 interview and record review, the facility failed to reassess the effectiveness of individualized resident care and interventions by not reviewing and revising resident care plans (a document that specified health care and supported needs and outlined how the facility met resident requirements) for one sampled resident (Resident #23) out of 18 sampled residents. The facility census was 88 residents. Review of the facility's Care Planning policy, dated 10/24/22, showed: -The purpose of the policy was to ensure a comprehensive person-centered care plan was developed for each resident based on their individual needs. -The care plan served to help the resident move toward resident-specific goals which addressed the resident's medical, nursing, mental and psychosocial needs. -The care plan was updated as indicated for changes in condition, onset of new problems, and resolution of current problems and as deemed appropriate. -Changes may be made to the care plan on an ongoing basis for the duration 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.

Based on interview and record review, the facility failed to complete labs as ordered for one sampled resident (Resident #31) out of five residents sampled for unnecessary medications. The facility census was 88 residents. Review of the facility's laboratory, diagnostic and radiology services policy dated 10/24/22 showed: -The facility was to ensure they provided laboratory services to meet the residents' needs. -The facility would coordinate lab services based on orders from an appropriate practitioner. -The facility was responsible for the timeliness of the lab services. 1. Review of Resident #31's quarterly Minimum Data Set (MDS-a federally mandated assessment tool completed by facility staff for care planning) dated 5/15/23 showed the following staff assessment of the resident: -Moderately cognitively impaired. -Some of his/her diagnoses included anemia (when the red blood cell or hemoglobin is below normal so there aren't enough healthy red blood cells to carry adequate oxygen to the body's tissues), heart failure (condition in which the heart cannot pump enough blood to all…

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 record review, the facility failed to provide nail care for one sampled resident (Resident #83) and failed to respond promptly to one supplemental resident's (Resident #27) call bell/light out of 18 sampled residents. The facility census was 88 residents. Review of the facility's policy titled Communication - Call System dated 10/24/22 showed: -The call system was used to provide a mechanism for residents to promptly communicate with nursing staff. -The facility would provide a call system to enable residents to alert the nursing staff from their beds and toileting/bathing facilities. -Nursing staff should answer call bells promptly. -When answering a request, nursing staff will return with the item or reply promptly. Review of the facility's Care and Services policy dated 10/24/22 showed residents were to receive the necessary care and services based on an individualized comprehensive assessment process. 1. Review of Resident #27's annual Minimum Data Set (MDS-a federally…

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 record review, the facility failed to ensure two sampled residents (Residents #13 and #16) received dental services out of 18 sampled residents. The facility census was 88 residents. Review of the facility's dental policy showed: -The facility would assist residents with referrals for dental services, including coordinating transportation within three business days or less from the time of damage or loss to dentures. -If a referral was not made within three days, the facility had to provide documentation of they did to ensure the resident could still eat and drink adequately while awaiting dental services. 1. Review of Resident #16's entry tracking form showed he/she admitted to the facility on [DATE]. Review of the resident's significant change Minimum Data Set (MDS-a federally mandated assessment tool completed by facility staff for care planning) dated 4/1/23 showed the following staff assessment of the resident: -Cognitively intact. -Understands others and was understood…

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 interview and record review, the facility failed to provide restorative care (a program to maintain a person's highest level of physical, mental, and psychosocial function in order to prevent declines that impact quality of life) following discharge from therapy services for one sampled resident (Resident #77) out of 18 sampled residents. The facility census was 88 residents. Review of the facility's Restorative Nursing Program Guidelines policy, dated 10/24/2022, showed: -The program focused on achieving and maintaining physical, mental and psychosocial functioning. -Residents were started on the Restorative Nursing Program: --Upon admission to the facility with restorative needs, but was not a candidate for formalized rehabilitation therapy; --When restorative needs arose during the course of a longer-term stay; --When a resident was discharged from formalized physical, occupational or speech rehabilitation therapy. -The Director of Nursing (DON) managed and directed the Restorative Nursing Program with consultation from rehabilitation professionals. -General restorative…

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 interview and record review, the facility failed to ensure they completed a check of the Employee Disqualification List (EDL) and/or Criminal Background Check (CBC) and/or the Nurse Aide (NA) Registry to ensure they did not have a Federal Indicator (a marker given to a potential employee who has committed abuse, neglect, or misappropriation of property against residents) prior to hire for six sampled staff out of 10 staff sampled. The facility census was 86 residents. Record review of the facility's employment screening policy dated 2/1/22 showed: -Check the EDL at least two days prior to scheduled resident contact on all newly employed individuals. -Check the CBC through the use of the Family Care Safety Registry at least two days prior to scheduled resident contact on all newly employed individuals. -Request a CBC on any individuals not registered with the Family Care Safety Registry. -Check the NA Registry at least two days prior to scheduled resident contact on all newly employed individuals. 1. Record review of the facility's list of employees hired since their last…

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 record review, the facility failed to provide regular bathing assistance for seven sampled residents (Residents #7, #49, #65, #276, #31, #226, and #73) that were dependent upon staff assistance for bathing assistance out of 18 sampled residents. The facility census was 86 residents. Record review of the facility's policy titled Activities of Daily Living (ADLs-bathing, grooming, hygiene, etc.), Supporting dated March 2018 showed ADLs should be provided for residents who are unable to carry out their own ADLs independently. 1. Record review of Resident #7's undated face sheet showed: -The resident was admitted to the facility on [DATE]. -Some of his/her diagnoses included heart disease and kidney failure. Record review of the resident's interdisciplinary notes dated 9/24/21 to 3/3/22 showed no documentation regarding the resident's bathing/showering. Record review of the resident's January 2022 bath/shower sheets showed the resident received assistance with showering: -Once…

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 interview and record review, the facility failed to establish and maintain annual competencies and skill sets of at least 12 hours of education in-services/training of facility licensed nursing staff, Certified Medication Technicians (CMT's), and Certified Nursing Assistants (CNA's). The facility census was 86 residents. Record review of the facility Staffing policy dated October 2017 showed the facility provides sufficient numbers of staff with the skills and competency necessary to provide care and services for all residents in accordance with resident care plans and the facility assessment. 1. Record review of the facility In-Service Training Program, Nursing Assistant dated May 2019 showed: -All nursing assistant personnel participate in regularly scheduled in-service training classes. -The facility completes a performance review of nursing assistants at least every 12 months. -In-service training is based on the outcome of the annual performance review, addressing weaknesses identified in the reviews. Record review of the facility Competency of Nursing Staff policy…

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, interview and record review, the facility failed to ensure staffing information was posted in a prominent place, readily accessible to residents and visitors. This practice had the potential to affect residents and visitors who were inquiring about the facility staffing hours. The facility census was 86 residents. Record review of the facility Posting Direct Care Daily Staffing Numbers dated July 2016 showed: -Within two hours of the beginning of each shift the number of Licensed Nurses [Registered Nurses (RN's), Licensed Practical Nurses (LPN's), and Licensed Vocational Nurses (LVN's)] and the number of unlicensed nursing personnel [Certified Nurse Aides (CNA's) directly responsible for resident care will be posted in a prominent location (accessible to residents and visitors) and in a clear and readable format. -Shift staffing information shall be recorded on the Nursing Staff Directly Responsible for Resident Care form for each shift. -The information recorded on the form shall include: --The name of the facility. --The date for which the information is…

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 interview and record review, the facility failed to provide a bed hold policy at the time of or within 24 hours of the resident's discharge to the hospital for two sampled residents (Resident #3 and #65) out of 18 sampled residents. The facility census was 86 residents. Record review of the facility's bed-holds and returns policy dated 2019 showed that prior to transferring a resident, the facility would inform the resident or the resident's representatives in writing of the bed-hold and return policy. 1. Record review of Resident #3's entry tracking record showed he/she was admitted to the facility on [DATE]. Record review of the resident's general note dated 11/16/21 showed he/she was sent to the hospital due to decreased mental status and a fever. Record review of the resident's electronic health record showed no documentation that a bed hold policy was provided to the resident or the resident's responsible party when transferring to the hospital on [DATE]. Record review of the resident's long-term…

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 record review, the facility failed to administer Levothyroxine (Synthroid used for thyroid hormone replacement) according to manufacturer's instructions for two sampled residents (Resident #11 and # 68) out of 18 sampled residents. The facility census was 86 residents. Record review of the facility's policy titled Medication Administration dated 1/21 showed: -Medications were to be administered as prescribed in accordance with manufacturer's specification. -Personnel authorized to administer medication do so only after they have familiarized themselves with the medication. -If necessary the nurse would contact the prescriber for clarification. -The interaction with the pharmacy and the resulting order clarification would be documented in the nursing notes. -Medications to be given on an empty stomach or before meals were to be scheduled for administration 30 minutes to two hours prior to meals. Record review of the manufacturer's website Abbvie Synthroid dated 2020 showed:…

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 record review, the facility failed to identify edema with a weight gain and notify the Physician for one sampled resident (Resident #14) and to provide medication and a treatment for a resident with skin issues that had been prescribed by the physician for one sampled resident (Resident #49) out of 18 sampled residents. The facility census was 86 residents. Record review of the facility's policy titled Medication Administration dated 1/21 showed medications were to be administered as prescribed. Record review of the facility's policy titled Activities of Daily Living (ADLs- bathing, grooming, hygiene, etc.), Supporting dated March 2018 showed ADLs should be provided for residents who are unable to carry out their own ADLs independently. 1. Record review of Resident #14's face sheet showed he/she was been admitted on [DATE] and readmitted on [DATE] with the following diagnoses: -Heart failure (a chronic condition in which the heart doesn't pump blood as well as it should…

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 interview and record review, the facility failed to follow through with pharmacy recommendations to reduce anti-psychotic medications for one sampled resident (Resident #71) out of 18 sampled residents. The facility census was 86 residents. Record review of the facility's Medication Utilization and Prescribing - Clinical Protocol policy, dated April 2018, showed: -When a medication was prescribed for any reason the physician and staff would identify the indications, considering the resident's age, medical and psychiatric conditions, risks, health status and existing medication regimen. -A diagnosis by itself may not be sufficient justification for prescribing a medication. -The existence of a condition or risk does not necessarily require a treatment and the treatment may be something besides, or in addition to, medication. -As part of the overall review, the physician and staff would evaluate the rationale for existing medications that lack a clear indication or are being used intermittently on an as…

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 interview and record review, the facility failed to determine the vaccination status related to a influenza (flu) vaccine for one sampled resident (Resident #126); and to obtain vaccination status for influenza, pneumococcal (pneumonia) and Covid-19 immunizations for one sampled resident (Resident #35) out of five residents sampled for vaccination review. The facility census was 86 residents. Record review of the facility's flu vaccine policy dated August 2016 showed: -Between October 1st and March 31st each year, the flu vaccine would be offered to residents unless the vaccine was medically contraindicated or the resident was already immunized. -Any refusal of a vaccine by a resident would be charted in their medical record. Record review of the facility's pneumococcal (pneumonia) vaccine policy dated August 2016 showed: -Prior to or upon admission, residents were to be assessed for the eligibility to receive the pneumonia vaccine series, and when indicated, would be offered within 30 days of admission…

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.