Queen Anne Healthcare

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to accurately assess 2 of 25 residents (Residents 89 & 190), reviewed for Minimum Data Set (MDS-an assessment tool). The failure to ensure accurate assessments regarding discharge status and insulin (medication/hormone that regulates blood sugar levels) injections placed the residents at risk for unidentified and/or unmet care needs, and a diminished quality of life. Findings included . According to the Long-Term Care Resident Assessment Instrument (RAI) 3.0 User's Manual, (a guide directing staff on how to accurately assess the status of residents) Version 1.19.1, dated October 2024, showed, .an accurate assessment requires collecting information from multiple sources, some of which are mandated by regulations. Those sources must include the resident and direct care staff on all shifts, and should also include the resident's medical record, physician, and family, guardian and/or other legally authorized representative, or significant other as appropriate…

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 notify the State Pre-admission Screening and Resident Review (PASARR or PASRR-an assessment used to identify people [residents] referred to nursing facilities with Serious Mental Illness [SMI], intellectual disabilities, or related conditions are not inappropriately placed in nursing facilities for long term care) Coordinator after a significant change in status occurred for 1 of 7 residents (Resident 7), reviewed for PASARR. This failure placed the resident at risk for unmet care needs and a diminished quality of life. Findings included . Review of the facility's policy titled, PASRR Policy, revised on 03/22/2024, showed, The PASRR determines that individuals are admitted appropriately to the nursing facility. It identifies people who have an intellectual disability or related concern, or a serious mental health illness, ensuring they receive the services needed. Resident 7 admitted to the facility on [DATE] with diagnoses that included depression (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 observation, interview, and record review, the facility failed to ensure physician's orders for oxygen were in place and/or followed according to professional standards of practice for 2 of 3 residents (Residents 85 & 12), reviewed for respiratory care. This failure placed the residents at risk for unmet care needs, and related respiratory complications. Findings included . Review of the facility's policy titled, Oxygen Administration, revised in October 2010, showed The purpose of this procedure is to provide guidelines for safe oxygen administration . Oxygen therapy is administered by way of an oxygen mask, nasal cannula [flexible tubing that sits inside the nostrils and delivers oxygen], and/or nasal catheter [flexible rubber or plastic tube with several holes near the tip inserted in the nostril] . Adjust the oxygen delivery device so that it is comfortable for the resident and the proper flow of oxygen is being administered. RESIDENT 85 Resident 85 admitted to the facility on [DATE] with diagnoses…

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 a physician order was followed and/or clarified for 1 of 4 residents (Resident 194), reviewed for medication administration. This failure placed the resident at risk for receiving incorrect medication dosage and formula, adverse side effects, and a diminished quality of life. Findings included . Review of the facility's policy titled, Administering Medications, revised in April 2019, showed medications should be administered in accordance with the prescriber's orders. The policy further showed that the individual administering the medication checks the label three times to verify the right resident, right medication, right dosage, right time, and right method (route) of administration before giving the medication. Review of Resident 194's physician orders showed an order for Ferrous Sulfate (iron supplement) oral tablet delayed release 324 milligrams (mg-unit of measurement) initiated on 01/18/2025 to be given one time a day every other day. Observation on 01/30/2025 at 8:39 AM, showed Staff H,…

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 Enhanced Barrier Precautions (EBP- precaution to protect residents from multidrug-resistant organism [a germ that is resistant to medications that treat infections]) practices were followed for 1 of 9 residents (Resident 72), reviewed for infection control. In addition, the facility failed to ensure hand hygiene and proper glove use were followed for 1 of 3 residents (Resident 12), reviewed for wound care, and failed to ensure clean linens were carried appropriately for 1 of 1 resident (Resident 6), reviewed for laundry services. These failures placed the residents, staff, and visitors at an increased risk for infection and related complications. Findings included . Review of the facility's policy titled, Enhanced Barrier Precautions, dated 03/21/2024, showed, PPE [Personal Protective Equipment-equipment [gown, gloves, mask] worn to minimize exposure to hazards that cause illness] for enhanced barrier precautions is only necessary when performing high-contact care activities. It showed that that high…

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 the influenza vaccine (used to prevent influenza [an infection of the nose, throat, and lungs]), was provided for 1 of 5 residents (Resident 10), reviewed for immunizations. This failure placed the resident at risk of acquiring, transmitting, and/or experiencing potentially avoidable complications from influenza disease. Findings included . Review of the facility's policy titled, Influenza Vaccine, revised in March 2022, showed, Between October 1st [first] and March 31st [thirty first] each year, the influenza vaccine shall be offered to residents and employees, unless the vaccine is medically contraindicated, or the resident or employee has already been immunized. Resident 10 admitted to the facility on [DATE]. Review of the facility's document titled, Vaccination History and Consent, dated 01/09/2025, showed that Resident 10's representative consented to receive the influenza vaccine on 01/12/2025. It further showed that a nurse signed 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 interview and record review, the facility failed to ensure the COVID-19 (a highly transmissible infectious virus that causes respiratory illness and in severe cases can cause difficulty breathing and could result in impairment or death) vaccine was provided for 1 of 5 residents (Resident 10), reviewed for immunizations. The failure to provide the COVID-19 vaccination placed the resident at risk for contracting the COVID-19 virus and related complications. Findings included . Review of the Centers for Disease Control and Prevention online document titled, Staying Up to Date with COVID-19 Vaccines, dated 10/03/2024, showed that everyone ages 6 months and older should get a 2024-2025 COVID-19 vaccine. It showed that people ages 12-64 years are up to date when they have received one dose of the 2024-2025 COVID-19 vaccine. It further showed that people ages 65 years and older are up to date when they have received two doses of any 2024-2025 COVID-19 vaccine 6 months apart. Review of the facility's 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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure foods stored in residents' personal refrigerators were labeled with use by date, discarded after use by date, and refrigerators had internal thermometer for 2 of 3 residents (Residents 1 & 2) and for 1 of 2 resident refrigeration units (First Floor Resident Refrigeration Unit), reviewed for personal food safety. In addition, the facility failed to ensure refrigerator temperatures were monitored and maintained for 2 of 3 refrigerators (Resident 2's Personal Refrigerator & First Floor Resident Refrigeration Unit). These failures placed the residents at risk for food borne illness (caused by the ingestion of contaminated food or beverages) and a diminished quality of life. Findings included . Review of the facility's policy titled, Personal Food Storage, revised in December 2016, showed that food or beverage brought in from outside sources for storage in facility pantries, refrigeration units, or personal room refrigeration units will…

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 1 of 1 resident (Resident 1) was free from a significant medication error. The failure to clarify a physician's order for an anticoagulant (blood thinner) medication placed the resident at risk for excessive bleeding, a decline in medical condition, and a diminished quality of life. Findings included . Review of an entry tracking Minimum Data Set assessment (MDS-an assessment tool) dated 12/29/2023 showed Resident 1 was readmitted to the facility from the hospital on [DATE]. Review of the hospital Discharge summary dated [DATE], under medications showed, you may resume Apixaban 5 [five] mg [milligram] on post op [post operative] day #5 (1/2/2024). The discharge summary showed to continue these medications which have not changed Apixaban 5 mg take 1 tablet (5 mg) every 12 hours. Review of the December 2023 Medication Administration Record (MAR) showed Resident 1 received Apixaban 5 mg at 8:00 PM on 12/29/2023, and from 12/30/2023 to 12/31/2023…

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 develop and implement comprehensive care plans for 5 of 21 residents (Residents 2, 4, 21, 60 & 16), reviewed for comprehensive care plans. The failure to develop and implement care plans to offer fluids, for use hearing aids and/or use of diuretics (medicines that help reduce edema [fluid buildup in the body]) placed the residents at risk for possible adverse effects and related complications. Findings included . Review of the facility's policy titled, Care Plans, Comprehensive Person-Centered, revised in December 2016, showed that the comprehensive care plan includes measurable objectives and timetable to meet the resident's physical, psychosocial, and functional needs is developed and implemented for each resident. OFFERING FLUIDS RESIDENT 2 Resident 2 admitted to the facility on [DATE]. Review of Resident 2's quarterly Minimum Data Set (MDS - an assessment tool) showed the resident required one person extensive assist with eating 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 ensure resident care plans were reviewed, revised, and accurately reflected residents' care needs for 4 of 21 residents (Residents 31, 52, 66 & 58) whose care plans were reviewed. This failure placed the residents at risk for unmet needs, and a diminished quality of life. Findings included . Review of the facility's policy titled, Care Plans, Comprehensive Person-Centered, revised in December 2016, showed that assessments of residents were ongoing and care plans were revised as information about the residents and the residents' conditions change. The Interdisciplinary team must review and update the care plan when there has been significant change in the resident's condition, when the desired outcome was not met, when the resident have been readmitted to the facility from a hospital and at least quarterly in conjunction with the required quarterly Minimum Data Set (MDS) assessment. RESIDENT 31 Resident 31 admitted to the facility on…

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 professional standards of practice to properly care and clean respiratory equipment for 4 of 6 residents (Residents 77, 66, 87 & 49), reviewed for respiratory care. The failure to properly label/store suction tubing/tip (a medical device used to remove mucus/saliva/blood obstructing a person's airway), masks for Continuous Positive Airway Pressure (CPAP- helps with breathing)/Bilevel Positive Airway Pressure (BIPAP-helps with breathing) placed the residents at risk for respiratory infections, and related complications. Findings included . USE OF SUCTION MACHINE Resident 77 admitted to the facility on [DATE] with a diagnosis that included dysphagia (difficulty swallowing). Review of a physician order dated 08/24/2023, showed that the oral suction equipment needs to be changed weekly/PRN (as needed) and dated when opened every night shift on Thursdays. Review of the airway clearance care plan revised on 08/24/2023, directed the staff…

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 foods stored were labeled/dated when opened and/or discard food products on or before the used by date in 1 of 1 walk-in refrigerators (main kitchen walk-in refrigerator) and 1 of 1 kitchen dry storage. This failure placed the residents at risk for developing food borne illness (caused by ingestion of contaminated food or beverages), and a diminished quality of life. Findings included . Review of the facility policy titled, Food Safety and Sanitation, dated May 2017 showed, Food protection measures that are performed by the food service department include . All time and temperature control for safety (TCS) leftovers are labeled, covered, and dated when stored .Canned and dry foods without expiration dates are used within six months of delivery or according to the manufacturer's guideline. MAIN KITCHEN WALK-IN REFRIGERATOR On 10/15/2023 at 8:27 AM, joint observation of the main kitchen walk-in refrigerator with Staff P, Cook, showed the following: - An open bag of cheese with quarter left in it had no…

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 soiled linens were bagged/handled properly for 2 of 2 residents (Residents 49 & 297), failed to implement hand hygiene during meal tray delivery for 1 of 8 residents (Resident 91), and during wound care observations for 1 of 3 residents (Resident 52), reviewed for infection control. These failures placed the residents at risk for facility acquired or healthcare-associated infections, and related complications. Findings included . Review of the facility policy titled, Handwashing/Hand Hygiene, revised in August 2019, showed the facility considers hand hygiene the primary means to prevent spread of infections. That all personnel shall follow the handwashing/hand hygiene procedures to help prevent the spread of infections to other personnel, residents, and visitors. Additionally, the facility policy showed that staff was to use alcohol-based hand rub and/or wash their hands using soap and water before handling clean or soiled…

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 call lights (an alerting device for staff to assist residents in need) were within reach for 2 of 3 residents (Residents 22 & 4), reviewed for accommodation of needs. This failure placed the residents at risk for delayed care, accidents/falls, and a diminished quality of life. Findings included . Review of facility's policy titled, Answering the Call Light, revised in October 2010, showed, when the resident is in bed or confined to a chair be sure the call light is within easy reach of the resident. RESIDENT 22 Resident 22 admitted to the facility on [DATE]. Review of the quarterly Minimum Data Set (MDS - an assessment tool) dated 10/05/2023, showed Resident 22 required extensive assist with bed mobility, transfer, walking, dressing, personal hygiene, and required total assist with toileting. Review of the fall care plan revised on 07/20/2023, showed Resident 22 was at moderate risk for falls related to cognitive/memory problems,…

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 handrail (support bar) in the bathroom was maintained and was safe to use for 1 of 1 resident (Resident 4) reviewed for use of assistive device. This failure placed the resident at risk for accidents/falls, injury, and a diminished quality of life. Findings included . Review of the facility's policy titled, Maintenance, revised in May 2009, showed the purpose for maintenance was to provide a safe environment for residents and preventative maintenance will occur throughout the year. Review of the facility's policy titled, Preventative Maintenance, revised in October 2010, showed the Electronic Preventative Maintenance System TELS (web-based software program) will be utilized to ensure all components are being reviewed according to schedule and TELS will be reviewed weekly by the Executive Director to ensure compliance with this documentation. Resident 4 admitted to the facility on [DATE]. Review of the annual Minimum Data Set (an…

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 accurately assess 3 of 22 residents (Residents 66, 246 & 52) reviewed for Minimum Data Set (MDS) assessment. The failure to ensure accurate assessments regarding skin conditions placed the residents at risk for unidentified or unmet care needs, and a diminished quality of life. Findings included . According to the Long-Term Care Resident Assessment Instrument (RAI) 3.0 User's Manual, Version 1.17.1, dated October 2019, showed Accuracy of Assessment means that the appropriate, qualified health professionals correctly document the resident's medical, functional, and psychosocial problems and identify resident strengths to maintain or improve medical status, functional abilities, and psychosocial status using the appropriate RAI (i.e., comprehensive, quarterly, annual, significant change in status). The Observation Period (also known as the Look-back period) is the time-period over which the resident's condition or status is captured by 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 observation, interview, and record review, the facility failed to consistently provide personal hygiene per plan of care for 1 of 6 residents (Resident 16), reviewed for Activities of Daily Living (ADL). This failure placed the resident at risk for poor hygiene, decreased self-esteem, and a diminished quality of life. Findings included . Review of the facility policy titled, Activities of Daily Living, Supporting, revised in March 2018, showed appropriate care and services will be provided for residents who are unable to carry out ADLs independently, with the consent of the resident and in accordance with the plan of care, including appropriate support and assistance with hygiene. Resident 16 admitted to the facility on [DATE] with diagnosis that included Alzheimer's disease (a disease that affects how the brain works and how a person thinks). Review of the quarterly Minimum Data Set (an assessment tool) dated 08/29/2023, showed Resident 16 had impaired cognition and required one-person extensive assist…

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 implement wound care recommendation for 1 of 3 residents (Resident 52), reviewed for skin condition. This failure placed the resident at risk for delayed wound healing, medical complication, and a diminished quality of life. Findings included . Review of the facility's policy titled, Pressure Ulcers [bed sore]/Skin Breakdown - Clinical Protocol, revised in April 2018, showed the physician will order pertinent wound treatments, including pressure reduction surfaces. The policy also showed that the physician will guide the care plan as appropriate, especially when wounds are not healing as anticipated or new wounds develop despite existing interventions. Resident 52 admitted to the facility on [DATE]. Review of Resident 52's quarterly Minimum Data Set (an assessment tool) dated 09/11/2023, showed the resident was cognitively intact. Observation on 10/15/2023 at 10:29 AM, showed Resident 52 had a foam wound dressing on their right elbow.…

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 the necessary supervision for 1 of 4 residents (Resident 1), reviewed for elopement. The failure to provide the necessary supervision for Resident 1 resulted in an elopement and placed the resident at risk for injury. Findings included . Review of the admission nursing data base assessment dated [DATE], showed Resident 1 was admitted to the facility on [DATE] with a diagnosis that included dementia (impaired memory). The assessment also showed Resident 1 had a history of wandering. Review of the elopement assessment dated [DATE], showed Resident 1 could walk without assist and was at moderate risk of elopement. Review of the facility's investigation titled, Event Form dated 10/07/2023, showed Resident 1 was last seen in the facility on 10/07/2023 at 4:40 PM in the dining room while waiting for dinner to be served. The event form showed that at 5:20 PM that evening, an unnamed staff noted that Resident 1 had left the dining room. At 5:45 PM, 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.